Individual
ANTOINETTE M GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3095 RICHMOND PKWY STE 201, RICHMOND, CA 94806-5878
(510) 778-2816
Mailing address
3095 RICHMOND PKWY STE 201, RICHMOND, CA 94806-5878
(510) 778-2816
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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