David John Beauchene Jr., ATC, AT/L
Community Health Worker in Ellensburg, WA. Individual provider (NPI-1).
NPI number1457787293
StatusActive
Last updated in NPPESSep 25, 2013
Details
- NPI
- 1457787293
- Entity type
- Individual (NPI-1)
- Name
- Mr. David John Beauchene Jr.
- Credential
- ATC, AT/L
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2013
- Last updated
- Sep 25, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | A1 60298159 | WA | Yes |
Practice location
400 E University WayEllensburg, WA 98926-7502
Phone 509-963-3238
Mailing address
6224 48th St EPuyallup, WA 98371-3619
Phone 253-820-7205
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