Individual
ANJEANETTE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
14828 ARTESIAN AVE, HARVEY, IL 60426-1313
(708) 566-4584
Mailing address
PO BOX 44, POSEN, IL 60469-0044
(708) 566-4584
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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