Individual
ORIENDA GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11020 172ND ST, JAMAICA, NY 11433-3437
(917) 803-7298
(718) 658-7319
Mailing address
11020 172ND ST, JAMAICA, NY 11433-3437
(917) 803-7298
(718) 658-7319
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
5402351
NY
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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