Individual
MISSY BEAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. NUTRITION
Contact information
Practice address
231 W SYCAMORE ST, WILLOWS, CA 95988-2827
(530) 934-8754
Mailing address
231 W SYCAMORE ST, WILLOWS, CA 95988-2827
(530) 934-8754
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
MSTN
CA
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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