Individual
DOMINIC T GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13100 STUDEBAKER RD, NORWALK, CA 90650-2531
(855) 464-2234
Mailing address
906 OAKHORNE DR, HARBOR CITY, CA 90710-1524
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95192655
CA
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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