Individual
MRS. AMANDA ELIZA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
315 E 13TH ST, MERCED, CA 95341-6211
(209) 564-4500
Mailing address
315 E 13TH ST, MERCED, CA 95341-6211
(209) 564-4500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18330
CA
Other
Enumeration date
09/08/2008
Last updated
01/12/2011
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