Angela Wyble PAC

NPI 1871588715 - Physician Assistant - 363AM0700X

NPI Details
NPI 1871588715
Gender Female
Enumeration Date 09/16/2005
Last Updated 08/23/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
2725 MENDOCINO AVE
SANTA ROSA CA, 95403-2805, US
Phone (707) 545-4537
Fax (707) 545-6726
Business Location
2725 MENDOCINO AVE
SANTA ROSA CA, 95403-2805, US
Phone (707) 545-4537
Fax (707) 545-6726
Toxanomy
Taxonomy Code 363AM0700X
License State California
License Number PA17243
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According to our database, Angela Wyble PAC NPI is 1871588715, taxonomy code is 363AM0700X and license number is PA17243, license state is located at California. Angela Wyble PAC physically located at 2725 Mendocino Ave, Santa Rosa CA, 95403-2805. NPI Number Angela Wyble PAC has the Individual type.

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1871588715 NPI number is provided on an as is basis without warranty of any kind. 1871588715 is maintained by the National Plan & Provider Enumeration System. The contents of Angela Wyble PAC are for informational purposes only.