Individual
DARREN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1415 OBRIEN CT, KENAI, AK 99611-7601
(907) 202-2653
Mailing address
1415 OBRIEN CT, KENAI, AK 99611-7601
(907) 202-2653
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
102173
AK
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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