Individual
MRS. TANYA GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19347 BEAVER DAM RD, LEWES, DE 19958-5539
(302) 841-3834
Mailing address
19347 BEAVER DAM RD, LEWES, DE 19958-5539
(302) 841-3834
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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