Individual
CAMERON RICHARD GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 S HUMAHUACA ST, PAHRUMP, NV 89048-2199
(775) 751-7406
(775) 751-7409
Mailing address
248 GREENBRIAR TOWNHOUSE WAY, LAS VEGAS, NV 89121-2449
(951) 219-8572
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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