Individual
GINA YAKIA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 952-9171
(702) 952-9170
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO2892
NV
207R00000X
Internal Medicine Physician
SL1341
NV
390200000X
Student in an Organized Health Care Education/Training Program
SL1342
NV
Other
Enumeration date
05/09/2018
Last updated
11/01/2022
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