Individual
CAROLYN BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 AIRMOTIVE WAY STE 262, RENO, NV 89502-3240
(702) 249-0387
Mailing address
1149 LA VIA WAY, SPARKS, NV 89434-4028
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
NV
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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