Individual
VICTORIA LYNN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 MARTINGALE LN, PLYMOUTH, MA 02360-3273
(774) 225-8476
Mailing address
27 PARK ST, HYANNIS, MA 02601-5203
(508) 862-5969
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9300
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2022
Last updated
03/21/2025
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