Individual
SASHA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4611 E HOUSTON ST APT 3004, SAN ANTONIO, TX 78220-1768
(414) 306-3845
Mailing address
4611 E HOUSTON ST APT 3004, SAN ANTONIO, TX 78220-1768
(414) 306-3845
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
TX
Other
Enumeration date
08/09/2020
Last updated
08/09/2020
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