Individual
DR. BEVERLY JANE JUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 SAN LEANDRO BLVD, 2ND FLOOR, BLDG. C, SAN LEANDRO, CA 94577-1598
(510) 618-2057
(510) 618-2077
Mailing address
1000 SAN LEANDRO BLVD, 2ND FLOOR, BLDG. C, SAN LEANDRO, CA 94577-1598
(510) 618-2057
(510) 618-2077
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
A42998
CA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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