Individual
GRISELDA BEAUVAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S VICTORIA AVE, VENTURA, CA 93009-0002
(805) 654-3343
Mailing address
800 S VICTORIA AVE, VENTURA, CA 93009-0002
(805) 654-3343
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95028784
CA
Other
Enumeration date
03/04/2024
Last updated
03/06/2024
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