Individual
ALEXIS KATELA GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4124 LINDEN AVE, DAYTON, OH 45432-3018
(937) 522-0961
(937) 522-0951
Mailing address
4124 LINDEN AVE, DAYTON, OH 45432-3018
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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