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MISSY BEAVERS M.S. NUTRITION

Nutrition, Education >> Nutritionist >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1396280095

Individual Registrant:
 MISSY  BEAVERS M.S. NUTRITION
Gender: F
Sole Proprietor

Location and contact information for practice:
231 W SYCAMORE ST  WILLOWS, CA 95988-2827 US
Tel: 530-934-8754  Fax: --

Contact information for business:
231 W SYCAMORE ST  WILLOWS, CA 95988-2827 US
Tel: 530-934-8754  Fax: --

Registration Information:
NPI: 1396280095
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133NN1002XDietary & Nutritional Service Providers
Nutritionist
Nutrition, Education
CAMSTN

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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