Individual
ASHLEY GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8001 S US HIGHWAY 75, SHERMAN, TX 75090-5707
(903) 534-4684
Mailing address
8001 S US HIGHWAY 75, SHERMAN, TX 75090-5707
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
312948
TX
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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