Individual
CHRISTINA MARIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 471-9200
(626) 301-8233
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP95006767
CA
363LF0000X
Family Nurse Practitioner
Primary
95006767
CA
Other
Enumeration date
09/26/2017
Last updated
12/14/2020
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