Individual
BIANCA TENE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3918 ATASCOCITA RD APT 435, HUMBLE, TX 77396-4458
(770) 695-8329
Mailing address
19780 ATASCOCITA SHORES DR APT 1032, HUMBLE, TX 77346-2935
(770) 695-8329
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/08/2019
Last updated
09/22/2020
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