Individual
JAZMIN ERIKA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-7605
(410) 328-7607
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-7605
(410) 328-7607
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C05381
MD
Other
Enumeration date
06/13/2014
Last updated
07/03/2014
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