Beau Blass
Beau Blass is a Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
3400 Spruce StPhiladelphia, PA 19104-4238
Phone: (215) 662-9990
Fax: (215) 243-3297
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1295521391 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 16, 2025 |
| Last updated in NPPES | April 16, 2025 |
| Certification date | April 16, 2025 |
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