Individual
MICHELLE RENEE GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
21334 THOMAS DR, CARSON, CA 90745-1600
(310) 365-6784
Mailing address
21334 THOMAS DR, CARSON, CA 90745-1600
(310) 365-6784
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
616497
CA
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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