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Individual

NIANA GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2700 REMINGTON AVE STE 2000, BALTIMORE, MD 21211-3037
(667) 312-2400
Mailing address
6910 LACHLAN CIR APT G, BALTIMORE, MD 21239-1056

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0089569
MD
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/05/2017
Last updated
08/18/2020
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