Individual
MRS. GINA BEVANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1687 ERRINGER RD, SIMI VALLEY, CA 93065-6508
(661) 993-9345
Mailing address
1843 PEPPER TREE CT, THOUSAND OAKS, CA 91362-1323
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95009852
CA
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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