Individual
MS. BRETT ERICA SIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1139 3RD ST, SOUTH LAKE TAHOE, CA 96150-3465
(530) 541-3100
Mailing address
1139 3RD ST, SOUTH LAKE TAHOE, CA 96150-3465
(530) 541-3100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
21517
CA
Other
Enumeration date
03/21/2011
Last updated
08/29/2011
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