Individual
DEANDRA RAYSHON GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2124 N FRONTAGE RD, MERIDIAN, MS 39301-6158
(786) 904-5758
Mailing address
2124 N FRONTAGE RD, MERIDIAN, MS 39301-6158
(786) 904-5758
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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