Individual
CAMETRA L GIBSON-BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA366895
Contact information
Practice address
7123 HAVANA HWY, HAVANA, FL 32333-5327
(850) 322-0489
Mailing address
PO BOX 953, HAVANA, FL 32333-0953
(850) 322-0489
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA366895
FL
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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