Individual
MISS VALENCIA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4016 HOHMAN AVE, HAMMOND, IN 46327-1239
(219) 769-4005
(219) 757-1950
Mailing address
4016 HOHMAN AVE, HAMMOND, IN 46327-1239
(219) 769-4005
(219) 757-1950
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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