Individual
TAMMY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
956 LAKEWOOD BLVD, AKRON, OH 44314-2959
(330) 926-7061
Mailing address
PO BOX 3081, AKRON, OH 44309-3081
(330) 926-7061
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/17/2024
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