Individual
MARK GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9501 20TH AVE NE, SEATTLE, WA 98115-2330
(206) 252-5557
Mailing address
7711 1ST AVE NW, SEATTLE, WA 98117-3008
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN 60303516
WA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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