Individual
SARA GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
58 W 58TH ST APT 8E, NEW YORK, NY 10019-2507
(262) 352-6488
Mailing address
58 W 58TH ST APT 8E, NEW YORK, NY 10019-2507
(262) 352-6488
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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