Individual
MARY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7310 HERITAGE VILLAGE PLZ UNIT 101, GAINESVILLE, VA 20155-3303
(571) 248-6488
Mailing address
7900 HICKORY HOLLOW DR, CATLETT, VA 20119-1719
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
0104557932
VA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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