Individual
ELIZABETH B MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
625 HILBY AVE, SEASIDE, CA 93955-5720
(831) 394-1691
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95022873
CA
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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