Individual
GISMA GBIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12303 PLANO RD APT 167, DALLAS, TX 75243-5318
(214) 406-9903
Mailing address
12303 PLANO RD APT 167, DALLAS, TX 75243-5318
(214) 406-9903
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
983476
TX
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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