Individual
AMANDA GIBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1280 COUNTY ROAD 32220, SUMNER, TX 75486-5654
(903) 900-9957
Mailing address
1280 COUNTY ROAD 32220, SUMNER, TX 75486-5654
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
189955
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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