Individual
DARLENE GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13458 173RD ST, JAMAICA, NY 11434-4538
(718) 671-2100
Mailing address
13458 173RD ST, JAMAICA, NY 11434-4538
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
297431
NY
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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