Individual
BEATRICE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
723 PARKVIEW AVE, YOUNGSTOWN, OH 44511-2316
(330) 770-8449
Mailing address
723 PARKVIEW AVE, YOUNGSTOWN, OH 44511-2316
(330) 770-8449
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
401444840912
OH
376K00000X
Nurse's Aide
401444840912
OH
Other
Enumeration date
01/20/2017
Last updated
05/08/2017
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