Individual
DOREEN J GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3217 TOLEDO PL APT 103, HYATTSVILLE, MD 20782-8105
(240) 342-0641
Mailing address
3217 TOLEDO PL APT 103, HYATTSVILLE, MD 20782-8105
(240) 342-0641
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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