Individual
MS. BEVERLY LYNN AVIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 AVILA BEACH DR, SAN LUIS OBISPO, CA 93405-8046
(805) 704-1999
Mailing address
275 SAN LUIS AVE, PISMO BEACH, CA 93449-2219
(805) 704-1999
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9352
CA
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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