PATTY BEAVER

LOMA LINDA, CA
NPI1003273590
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: PR  11742)
Enumeration Date2016-01-28
Last Update Date2022-10-20
Business Address
PATTY BEAVER LSW
11201 BENTON ST
LOMA LINDA, CA 92357-5703
Phone number: 909-674-2794
Mailing Address
PATTY BEAVER LSW
11201 BENTON ST
LOMA LINDA, CA 92357-1000
Phone number: 909-674-2794