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BEVERLY LYNN CONLEY
>> Military Health Care Provider >> Other Service ProvidersRegistrant NPI Number: 1043420185
Individual Registrant: BEVERLY LYNN CONLEY
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
6037 PRICE AVE MCCLELLAN, CA 95652-2400 US
Tel: 916-561-7568 Fax: 916-561-7566
Tel: 916-561-7568 Fax: 916-561-7566
Contact information for business:
5609 RAFFERTY AVE MCCLELLAN, CA 95652-2412 US
Tel: 530-748-9018 Fax: 916-561-7566
Tel: 530-748-9018 Fax: 916-561-7566
Registration Information:
NPI: 1043420185
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171000000X | Other Service Providers Military Health Care Provider |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
