Individual
CLARA DELORISE GIBSON-BOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 HOLCOMBE BLVD., RM. 3A-110, HOUSTON, TX 77030-4211
(713) 794-7332
Mailing address
4410 DACCA DR., HOUSTON, TX 77047-1240
(713) 738-3441
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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