Individual
JANIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18090 MARX ST, HIGHLAND PARK, MI 48203-2468
(313) 471-4013
Mailing address
18090 MARX ST, HIGHLAND PARK, MI 48203-2468
(313) 471-4013
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MI
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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