Individual
MR. RICHARD JOSEPH BEAULIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PNP-BC
Contact information
Practice address
1800 H ST RM 80, UNION CITY, CA 94587-3321
(510) 471-5880
Mailing address
22331 MISSION BLVD, HAYWARD, CA 94541-3911
(510) 471-5880
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
10621
CA
Other
Enumeration date
07/30/2010
Last updated
08/27/2021
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