Individual
BEE VUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
874 PLUMAS ST STE C, YUBA CITY, CA 95991-4023
(530) 443-9151
Mailing address
500 CROWN POINT CIR STE 120, GRASS VALLEY, CA 95945-9561
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
04/18/2025
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