Individual
BEVERLY DIANE RAUSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17290 JASMINE ST, SUITE 101, VICTORVILLE, CA 92395-7709
(760) 951-2400
(760) 951-3301
Mailing address
17290 JASMINE ST, SUITE 101, VICTORVILLE, CA 92395-7709
(760) 951-2400
(760) 951-3301
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA01489
TX
363AM0700X
Medical Physician Assistant
Primary
PA20609
CA
Other
Enumeration date
10/04/2006
Last updated
08/14/2012
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