Individual
ALICIA N GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4789 GOOSEBERRY KNL, RAVENNA, OH 44266-7859
(330) 592-0353
Mailing address
4789 GOOSEBERRY KNL, RAVENNA, OH 44266-7859
(330) 592-0353
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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