Individual
CASSANDRA MICHELLE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5344 W AVENUE L6, LANCASTER, CA 93536-4444
(805) 259-5517
Mailing address
5344 W AVENUE L6, LANCASTER, CA 93536-4444
(805) 259-5517
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
VN238360
CA
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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