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Individual

JOSE BALIBRERAS FERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11416 CEDAR AVE, BLOOMINGTON, CA 92316-3312
(200) 200-8455
Mailing address
11416 CEDAR AVE, BLOOMINGTON, CA 92316-3312
(200) 200-8455

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
CA

Other

Enumeration date
08/07/2021
Last updated
08/07/2021
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