Individual
ARACELI LOAIZA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4440 N 1ST ST, FRESNO, CA 93726-2304
(559) 225-1102
(559) 225-1075
Mailing address
4440 N 1ST ST, FRESNO, CA 93726-2304
(559) 225-1102
(559) 255-1075
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
CA
Enumeration date
07/17/2017
Last updated
07/17/2017
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