Individual
MRS. BEVERLY M LOVE
Active
Individual
MRS. BEVERLY M LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
R0043285
OK
171M00000X
Case Manager/Care Coordinator
22560
OK
Other
Enumeration date
05/01/2007
Last updated
07/31/2012
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