Individual
MS. SEANNE CECELIA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
496 RAINBOW AVE, LOS ANGELES, CA 90065-3952
(323) 221-7822
(323) 221-8889
Mailing address
496 RAINBOW AVE, LOS ANGELES, CA 90065-3952
(323) 221-7822
(323) 221-8889
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
LM 171
CA
Other
Enumeration date
01/25/2007
Last updated
05/03/2010
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