SHANTEL BEAMAN
Individual Provider (NPI-1)
Active
Community Health Worker
Provider Information
- NPI Number
1972438810- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 805 N ARTHUR AVE, POCATELLO, ID, 832042803
- Phone
- (208) 760-2144
Specialties & Taxonomies
Community Health Worker
Primary License: ID