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Individual

MRS. BEVERLY J ELEMEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N P

Contact information

Practice address
276 INTERNATIONAL CIRCLE, SAN JOSE, CA 95119
(408) 972-6633
Mailing address
276 INTERNATIONAL CIRCLE, SAN JOSE, CA 95119
(408) 972-6633

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
332803
CA

Other

Enumeration date
11/02/2005
Last updated
07/08/2007
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