BIANCA NEEMA WIBISONO

SAN JOSE, CA
NPI1134812548
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  62531)
Enumeration Date2023-05-31
Last Update Date2023-09-13
Business Address
BIANCA NEEMA WIBISONO PA-c
1071 BLOSSOM HILL RD
SAN JOSE, CA 95123-1105
Phone number: 408-445-4020
Mailing Address
BIANCA NEEMA WIBISONO PA-c
325 DISTEL CIR
LOS ALTOS, CA 94022-1408
Phone number:
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