Individual
DR. BEVERLY JEAN PENCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
11100 SHORELINE HWY, PT REYES STATION, CA 94956
(415) 663-8442
(415) 663-1842
Mailing address
11100 STATE ROUTE 1, PO BOX 236, PT REYES STATION, CA 94956
(415) 663-8442
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
26914
CA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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