Endia Talynne Beavers

NPI #1194315424 in Eastpointe, Michigan

Provider Information

NPI Number: 1194315424
Entity Type: Individual
Name: Endia Talynne Beavers
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jan 20, 2021
Last Updated: Jan 20, 2021

Practice Location

Address: 22851 LEXINGTON AVE
City: Eastpointe
State: Michigan
ZIP Code: 48021-1990
Phone: (586) 218-8570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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