Individual
NANINE BEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
1415 HARRIS ST, EUREKA, CA 95503-4603
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
706773
CA
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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