JIMMY P LIBOON

ANAHEIM, CA
NPI1578630349
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA12111)
Enumeration Date2006-11-29
Last Update Date2021-11-30
Business Address
JIMMY P LIBOON PA
441 N LAKEVIEW AVE
ANAHEIM, CA 92807-3028
Phone number: 888-988-2800
Mailing Address
JIMMY P LIBOON PA
441 N LAKEVIEW AVE
ANAHEIM, CA 92807-3028
Phone number: 888-988-2800