Jeanette Wong Shibata MSPA

NPI 1306031448 - Physician Assistant - 363A00000X

NPI Details
NPI 1306031448
Gender Female
Enumeration Date 09/12/2007
Last Updated 06/07/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
400 N. PEPPER AVE
COLTON CA, 92324, US
Phone (909) 580-1000
Fax
Business Location
8548 QUIET WOODS ST
CHINO CA, 91708-9203, US
Phone (626) 318-1186
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Mrs. Jeanette Wong Shibata MSPA NPI is 1306031448, taxonomy code is 363A00000X Jeanette Wong Shibata MSPA physically located at 400 N. Pepper Ave, Colton CA, 92324. NPI Number Jeanette Wong Shibata MSPA has the Individual type.

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1306031448 NPI number is provided on an as is basis without warranty of any kind. 1306031448 is maintained by the National Plan & Provider Enumeration System. The contents of Jeanette Wong Shibata MSPA are for informational purposes only.