Individual
JAKIRA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
308 VEGAS DR, MONROE, LA 71202
(318) 239-3862
(318) 239-3867
Mailing address
308 VEGAS DR, MONROE, LA 71202-3746
(318) 239-3862
(318) 239-3867
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/11/2018
Last updated
05/29/2018
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