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Individual

CARRIE LYNN GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LND, M. ED

Contact information

Practice address
VA CARIBBEAN HEALTHCARE SYSTEM, 10 CASIA STREET, SAN JUAN, PR 00921
(787) 641-7582
Mailing address
VA CARIBBEAN HEALTHCARE SYSTEM, 10 CASIA STREET, SAN JUAN, PR 00921
(787) 641-7582

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
918650
PR

Other

Enumeration date
01/24/2011
Last updated
05/10/2016
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