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Individual

BEVERLY ANN LUCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
26725 NEFF CT, CANYON COUNTRY, CA 91351-6926
(661) 298-5514
Mailing address
26725 NEFF CT, CANYON COUNTRY, CA 91351-6926
(661) 313-5008

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
09/12/2011
Last updated
12/16/2013
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