Individual
BEVERLY JO WEATHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HILLMONT AVE, VENTURA, CA 93003-1647
(805) 652-6729
Mailing address
1540 LOBELIA AVE, VENTURA, CA 93004-1879
(805) 479-5576
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
377076
CA
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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