Individual
JUNKO GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 GRESHAM DR, NORFOLK, VA 23507-1904
(757) 388-3125
Mailing address
1773 CHASE POINTE CIR APT 517, VIRGINIA BEACH, VA 23454-7045
(757) 450-7997
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207970
VA
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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