Individual
MS. REBECCA J GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1531 ESPLANADE, CHICO, CA 95926-3310
(530) 332-4400
Mailing address
1531 ESPLANADE, CHICO, CA 95926-3310
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
20401
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
703921
—
AZ
Enumeration date
07/07/2009
Last updated
09/19/2022
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