Individual
MS. BEVERLY JANET STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
39155 LIBERTY ST, SUITE G70, FREMONT, CA 94538-1513
(510) 795-2478
Mailing address
7940 ATWATER LN APT 304, MEMPHIS, TN 38119-9190
(901) 691-9120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R869632
MS
163W00000X
Registered Nurse
RN604347
CA
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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