Individual
EBONY NICOLE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
710 CHALFONTE PL APT 204, CINCINNATI, OH 45229-2300
(513) 344-0857
Mailing address
710 CHALFONTE PL APT 204, CINCINNATI, OH 45229-2300
(513) 344-0857
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
159319
OH
Other
Enumeration date
11/28/2024
Last updated
11/28/2024
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