Individual
AMANDA MAY GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
206 DONNEL ST, ALVORD, TX 76225-5978
(760) 987-4675
Mailing address
206 DONNEL ST, ALVORD, TX 76225-5978
(760) 987-4675
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
340242
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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