Individual
MAYA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1675 HIGHLAND AVE, MADISON, WI 53792-0002
(608) 234-0081
Mailing address
3001 PARMENTER ST APT 312, MIDDLETON, WI 53562-1616
(608) 234-0081
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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