KENJI SHIBATA

FONTANA, CA
NPI1790844371
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A8912)
Enumeration Date2006-12-08
Last Update Date2021-11-30
Business Address
KENJI SHIBATA DO
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
Mailing Address
KENJI SHIBATA DO
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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