Individual
MS. ROSIE P GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1536 MISSISSIPPI ST, DAYTONA BEACH, FL 32114-1482
(386) 559-4005
Mailing address
1536 MISSISSIPPI ST, DAYTONA BEACH, FL 32114-1482
(386) 559-4005
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
12/07/2015
Last updated
01/22/2016
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