Individual
TIFFANY ANN GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 WILLIAMSTOWN PIKE, WILLIAMSTOWN, WV 26187-8168
(304) 455-2757
Mailing address
1307 WILLIAMSTOWN PIKE, WILLIAMSTOWN, WV 26187-8168
(304) 455-2757
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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