Individual
PATRICIA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11550 W GINGER CREEK DR, BOISE, ID 83713-3651
(208) 921-8340
Mailing address
11550 W GINGER CREEK DR, BOISE, ID 83713-3651
(208) 921-8340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N13108
ID
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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