Individual
ANNA CELESTE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-5753
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
(501) 686-5140
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A199750
CA
Other
Enumeration date
03/27/2020
Last updated
12/11/2024
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