Brieanne Beaujolais
Student in an Organized Health Care Education/Training Program in Columbus, OH. Individual provider (NPI-1).
NPI number1750831996
StatusActive
Last updated in NPPESOct 12, 2016
Details
- NPI
- 1750831996
- Entity type
- Individual (NPI-1)
- Name
- Brieanne Beaujolais
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2016
- Last updated
- Oct 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | S.1510395-TRNE | OH | Yes |
Practice location
495 E Main StColumbus, OH 43215-5349
Phone 614-355-8695 · Fax 614-355-8620
Mailing address
Dept 781625Detroit, MI 48278-1625
Phone 614-355-8004 · Fax 614-355-2220
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