Individual
DIANNA GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4506 FENWICK AVE, CLEVELAND, OH 44102-4533
(216) 308-3579
Mailing address
4506 FENWICK AVE, CLEVELAND, OH 44102-4533
(216) 308-3579
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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