Individual
MRS. BEVERLEY F GRAMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
220 HUNTINGTON CT, APTOS, CA 95003-4258
(831) 708-4032
Mailing address
220 HUNTINGTON CT, APTOS, CA 95003-4258
(831) 870-8403
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
170450
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RVN002710
MEDI-CAL
CA
Enumeration date
04/26/2007
Last updated
04/16/2018
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