Individual
MS. VIRGINIA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
600 ROBBINS RD, SUITE 400, BOISE, ID 83702-4539
(208) 383-0201
(208) 489-4300
Mailing address
600 ROBBINS RD, SUITE 401, BOISE, ID 83702-4539
(208) 383-0201
(208) 489-4300
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
96134
ID
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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