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Organization
TYRA L BEAVERS BS PTA DC
Active
Organization
TYRA L BEAVERS BS PTA DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TYRA LYNN BEAVERS D.C. (OWNER/CHIROPRACTOR)
(310) 859-7696
Entity
Organization
Contact information
Practice address
250 N ROBERTSON BLVD STE 411, BEVERLY HILLS, CA 90211-1793
(310) 859-7696
(310) 859-7699
Mailing address
250 N ROBERTSON BLVD STE 411, BEVERLY HILLS, CA 90211-1793
(310) 859-7696
(310) 859-7699
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC23792
CA
Other
Enumeration date
11/06/2007
Last updated
04/10/2019
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