Individual
MICHAEL GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 ARLINGTON AVE APT 8, THORNVILLE, OH 43076-3506
(740) 605-6732
Mailing address
25 ARLINGTON AVE APT 8, THORNVILLE, OH 43076-3506
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
LP61456239
WA
164X00000X
Licensed Vocational Nurse
Primary
PN.159260
OH
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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