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MISSY BEAVERS M.S. NUTRITION
Nutrition, Education >> Nutritionist >> Dietary & Nutritional Service ProvidersRegistrant NPI Number: 1396280095
Individual Registrant: MISSY BEAVERS M.S. NUTRITION
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
231 W SYCAMORE ST WILLOWS, CA 95988-2827 US
Tel: 530-934-8754 Fax: --
Tel: 530-934-8754 Fax: --
Contact information for business:
231 W SYCAMORE ST WILLOWS, CA 95988-2827 US
Tel: 530-934-8754 Fax: --
Tel: 530-934-8754 Fax: --
Registration Information:
NPI: 1396280095
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 133NN1002X | Dietary & Nutritional Service Providers Nutritionist Nutrition, Education | CA | MSTN |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
