Individual
MRS. TAMMY JEAN GIBSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
17304 BROADLAND LN, OKEECHOBEE, FL 34974-8545
(863) 467-5704
Mailing address
17302 BROADLAND LN, OKEECHOBEE, FL 34974-8545
(863) 467-4606
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
FL
Other
Enumeration date
08/25/2005
Last updated
07/08/2007
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