Individual
ANGELA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 ELKTON PL, CINCINNATI, OH 45224-2518
(513) 316-2188
Mailing address
1516 ELKTON PL, CINCINNATI, OH 45224-2518
(513) 316-2188
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
347C00000X
Private Vehicle
AJGIB
OH
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/20/2024
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