Individual
MALIK ISA GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8790 F ST STE 312, OMAHA, NE 68127-1535
(402) 570-3168
Mailing address
8790 F ST, OMAHA, NE 68127-1524
(402) 904-2612
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
NE
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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