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Individual

MRS. BEATA ANN VIEIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2165 S BASCOM AVE, CAMPBELL, CA 95008-3280
(408) 963-5500
Mailing address
691 N CLOVER AVE, SAN JOSE, CA 95128-4616
(408) 244-9454

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16492
CA

Other

Enumeration date
04/11/2012
Last updated
04/11/2012
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