JONATHAN WIBISONO, NP
Nurse Practitioner
Active
Individual
NPI: 1992158653
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 95004343 (CA) |
Frequently Asked Questions
NPI 1992158653 is the National Provider Identifier for JONATHAN WIBISONO, NP, a Nurse Practitioner provider located in Beaumont, CA. This NPI was enumerated on July 18, 2016.
JONATHAN WIBISONO, NP practices at 851 E 6TH ST, SUITE B-4, Beaumont, CA 92223.
Quick Facts
- NPI
- 1992158653
- Type
- Individual
- Enumerated
- Jul 18, 2016
- Last Updated
- Jul 18, 2016
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