Individual
MELISSA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6001 MOON ST NE, APT 324, ALBUQUERQUE, NM 87111-1461
(850) 228-2486
Mailing address
6001 MOON ST NE, APT 324, ALBUQUERQUE, NM 87111-1461
(850) 228-2486
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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