Individual
TERESA BIBIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7388 LEISURE TOWN ROAD, VACAVILLE, CA 95688-9696
(707) 718-1916
Mailing address
7388 LEISURE TOWN RD, VACAVILLE, CA 95688-9696
(707) 718-1916
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A7970250
CA
Other
Enumeration date
10/18/2019
Last updated
09/01/2020
About Stedi
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