Individual
JUDITH GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOM, DIPL ACU, LAC
Contact information
Practice address
3808 PARK AVE, NASHVILLE, TN 37209-3741
(615) 499-0789
Mailing address
1040 DEER WOOD TRL, PEGRAM, TN 37143-5061
(608) 235-8138
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
173
TN
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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