Individual
MR. JAQUAN LAMONT GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2616 DENMARK RD, COLUMBUS, OH 43232-4632
(614) 554-9172
Mailing address
2616 DENMARK RD, COLUMBUS, OH 43232-4632
(614) 554-9172
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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