Individual
MONROE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
157 MUNCY DR, DELBARTON, WV 25670-9733
(304) 426-5890
Mailing address
157 MUNCY DR, DELBARTON, WV 25670-9733
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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