Individual
RIA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 SUPERIOR AVE E, SUITE # 1800, CLEVELAND, OH 44114-2522
(216) 952-8917
Mailing address
10524 KIMBERLEY AVE, CLEVELAND, OH 44108-2738
(216) 952-8917
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
328284
OH
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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