Individual
MRS. KRISTINE ANN REBIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1030 SCENIC DR, MODESTO, CA 95350-6133
(209) 558-7698
Mailing address
830 SCENIC DR, MODESTO, CA 95350-6131
(209) 558-8400
(209) 558-8344
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
17922
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992987259
—
CA
05
—
PA17922
—
CA
Enumeration date
11/28/2007
Last updated
07/31/2025
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