Individual
SHARON WRAY GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
120 E 10TH ST, TRACY, CA 95376-4004
(209) 830-1702
(209) 830-1702
Mailing address
120 E 10TH ST, TRACY, CA 95376-4004
(209) 830-1702
(209) 830-1702
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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