Individual
KRISTEN ELIZABETH GIBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
504 GATEHOUSE DR, EAST WAREHAM, MA 02538-1374
(339) 235-9492
Mailing address
504 GATEHOUSE DR, EAST WAREHAM, MA 02538-1374
(339) 235-9492
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
279951
MA
Other
Enumeration date
05/05/2008
Last updated
09/20/2012
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