Most Relevant Information
Provider Data
| NPI Number: | 1003506726 |
| Provider Name: | SARAH BEAVERS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/08/2023 |
| Last Updated: | 05/08/2023 |
Provider Practice Location
2956 HIGHWAY 321 E
AUSTIN
AR
720078729
Practice Location Phone/Fax
| Phone: | 5016768545 |
| Fax: |
Provider Mailing Location
2956 HIGHWAY 321 E
AUSTIN
AR
720078729
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |