Individual
JOHN FITZGERALD GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9715 ZIRCON DR SW, LAKEWOOD, WA 98498-3416
(253) 380-6129
Mailing address
9715 ZIRCON DR SW, LAKEWOOD, WA 98498-3416
(253) 380-6129
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/15/2021
Last updated
10/24/2022
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