Individual
LIBBEY A MICHELINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1123 APACHE CT, GILROY, CA 95020-3417
(408) 848-3987
Mailing address
1123 APACHE CT, GILROY, CA 95020-3417
(408) 848-3987
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21441
CA
Other
Enumeration date
05/31/2011
Last updated
03/07/2023
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