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NPI Code Detail

MEDICARE: COLLETE BIBAYAN

MEDICARE:   COLLETE  BIBAYAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist73652CA

General Provider Information

NPI Number : 1114397270
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLETE BIBAYAN
Provider Business Mailing Address
First Line : 19781 RINALDI ST
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91326-4143
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19781 RINALDI ST
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91326-4143
Country : US
Telephone Number : 818-832-5955
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2015
Last Update Date : 11/22/2016

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Directions to “ COLLETE BIBAYAN ” Practice Location

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