Individual
BRIDGETTE GIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9318 MEADOW FORD CT, HUMBLE, TX 77396-3797
(281) 450-6562
Mailing address
9318 MEADOW FORD CT, HUMBLE, TX 77396-3797
(281) 450-6562
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
191427
TX
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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