Individual
MRS. ODESSA ODARA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-3302
(954) 265-5808
Mailing address
19454 NW 29TH CT, MIAMI GARDENS, FL 33056-0600
(786) 444-7655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9353890
FL
Other
Enumeration date
05/31/2016
Last updated
10/08/2020
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