Individual
JOANNA ALLEN-GIBBS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6340 NAKIA DR, REMBERT, SC 29128-8820
(803) 464-1607
Mailing address
6340 NAKIA DR, REMBERT, SC 29128-8820
(803) 464-1607
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
224P00000X
Prosthetist
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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