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Search › California › 376J00000X

Shontell Beasley

NPI 1881508489 · on the registry since 2026

Practice

Address
310 Donegal Dr
Vallejo, CA 94589
Phone
(707) 590-4760
Organisation at this address
Plum Enterprise Inc
Plum Enterprise Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
376J00000X
376J00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California