Individual
CRYSTAL GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 HILLCREST DR, LAURENS, SC 29360-2343
(864) 984-3568
Mailing address
301 HILLCREST DR, LAURENS, SC 29360-2343
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
86289
SC
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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