Individual
NNEKA GIBNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1877 EL RANCHO DR APT 22, SPARKS, NV 89431-1080
(775) 870-0943
Mailing address
1877 EL RANCHO DR APT 20, SPARKS, NV 89431-1080
(585) 690-1440
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
474961824
NV
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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