Individual
MRS. BEVERLY MIRIAM WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 PARK TOWNE CIR, SUITE 200, SACRAMENTO, CA 95825-0418
(916) 480-9000
(916) 480-9380
Mailing address
2201 PARK TOWNE CIR, SUITE 200, SACRAMENTO, CA 95825-0418
(916) 480-9000
(916) 480-9380
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/20/2007
Last updated
03/04/2008
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