Individual
CRYSTAL GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5400 MACARTHUR BLVD, VANCOUVER, WA 98661-7049
(564) 219-0984
Mailing address
5400 MACARTHUR BLVD, VANCOUVER, WA 98661-7049
(564) 219-0984
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61100743
WA
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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