Individual
MR. JOSEPH WARREN GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
8036 CENTER PKWY, SACRAMENTO, CA 95823-5243
(916) 207-2795
Mailing address
8036 CENTER PKWY, SACRAMENTO, CA 95823-5243
(916) 207-2795
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT22640
CA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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