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Individual

BEVERLY MIKURIYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2968 STATE HIGHWAY 49 STE C, COOL, CA 95614-9478
(530) 888-9020
(530) 888-9030
Mailing address
2968 STATE HIGHWAY 49, COOL, CA 95614-9477
(530) 888-9020
(530) 888-9030

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G27264
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009373400001
PA
Enumeration date
07/31/2006
Last updated
08/17/2022
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