SHANNON BEATON
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1063922037- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 655 WESTFIELD AVE, ELIZABETH, NJ, 072081325
- Phone
- (908) 352-8858
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Primary
All Addresses
MAILING
655 WESTFIELD AVE
ELIZABETH, NJ, 072081325