Individual
MILDRED T. GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N
Contact information
Practice address
720 MALCOLM BLVD, VALDESE, NC 28690-2872
(828) 580-7142
Mailing address
720 MALCOLM BLVD, VALDESE, NC 28690-2872
(828) 580-7142
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L000020
NC
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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