Individual
NIKIA CYNA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
237 RIVERVIEW DR, SAINT ROSE, LA 70087-3542
(313) 720-5874
Mailing address
PO BOX 781, SAINT ROSE, LA 70087-0781
(313) 720-5874
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
011645451
LA
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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