Individual
KRYSTINA GIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 LOUDON RD BLDG 4, CONCORD, NH 03301-5628
(603) 415-0019
Mailing address
105 LOUDON RD BLDG 4, CONCORD, NH 03301-5628
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NH
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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