Individual
BEVERLY J. CLAYSHULTE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S., L.N.
Contact information
Practice address
1990 E LOHMAN AVE, STE. 119, LAS CRUCES, NM 88001-3116
(505) 521-9931
Mailing address
205 W BOUTZ RD, BLDG #1, LAS CRUCES, NM 88005-3262
(505) 532-7000
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
437
NM
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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