Individual
CRYSTAL ARLENE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10807 JERSEY AVE, SANTA FE SPRINGS, CA 90670-4316
(562) 863-7678
Mailing address
16152 WHITTIER BLVD, STE A, WHITTIER, CA 90603-2940
(562) 947-9461
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14291
CA
Other
Enumeration date
10/03/2011
Last updated
08/09/2016
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