Individual
TIFFANY GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 TWIN OAK TRL, CEDAR PARK, TX 78613-3719
(859) 969-7498
Mailing address
404 TWIN OAK TRL, CEDAR PARK, TX 78613-3719
(859) 969-7498
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5234289
FL
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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