Individual
ALYSSA MARIE VAN BIBBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1880 N ORANGE GROVE AVE, POMONA, CA 91767-3006
(909) 620-7200
(909) 620-5800
Mailing address
840 TOWNE CENTER DR, POMONA, CA 91767-5900
(909) 398-1550
(909) 398-1573
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA22523
CA
Other
Enumeration date
11/19/2012
Last updated
03/25/2016
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