Individual
REDONDA KAYE GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED PEER C
Contact information
Practice address
612 WOODLAND SQUARE LOOP SE STE 401, LACEY, WA 98503-1070
(360) 628-2395
Mailing address
612 WOODLAND SQUARE LOOP SE STE 401, LACEY, WA 98503-1070
(360) 628-2395
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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