Individual
ABBIGAYLE LIBONATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 N 4TH ST, SAN JOSE, CA 95112-4713
(669) 326-4117
Mailing address
1302 N 4TH ST, SAN JOSE, CA 95112-4713
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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