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Individual

MRS. BEVERLY A KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15447 ANACAPA RD STE 102D-2, VICTORVILLE, CA 92392-2481
(909) 654-0798
(800) 915-8151
Mailing address
15447 ANACAPA RD STE 102D-2, VICTORVILLE, CA 92392-2481
(909) 654-0798
(800) 915-8151

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CA

Other

Enumeration date
06/11/2025
Last updated
06/11/2025
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