Individual
MRS. SUZANNE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 SCOTT ST, SAN FRANCISCO, CA 94115-3013
(415) 353-7725
Mailing address
1675 SCOTT ST, SAN FRANCISCO, CA 94115-3013
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
810623
CA
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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