Individual
JAMIE JAY BIBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
525 W ACACIA ST, STOCKTON, CA 95203-2405
(209) 944-5550
Mailing address
525 W ACACIA ST, STOCKTON, CA 95203-2405
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52907
CA
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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