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Individual

BIANCA REBOLLEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
11234 ANDERSON ST, LOMA LINDA UNIVERSITY HEALTH PSYCHIATRY, LOMA LINDA, CA 92354-2804
(909) 558-9532
Mailing address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354-2804

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A157704
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A157704
CA

Other

Enumeration date
04/03/2017
Last updated
08/18/2022
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