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BREONA S BEVERLY

>> Licensed Vocational Nurse >> Nursing Service Providers

Registrant NPI Number: 1194243626

Individual Registrant:
 BREONA S BEVERLY 
Gender: F
Sole Proprietor

Location and contact information for practice:
1904 RICHLAND AVE  CERES, CA 95307-4562 US
Tel: 209-300-8800  Fax: --

Contact information for business:
1123 CEDAR CREEK DR UNIT 4  MODESTO, CA 95355-5228 US
Tel: --  Fax: --

Registration Information:
NPI: 1194243626
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164X00000XNursing Service Providers
Licensed Vocational Nurse
CA688761

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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