Individual
AMELIA JOHNSON GIBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
8425 CUMBERLAND PL, BATON ROUGE, LA 70806-6544
(225) 924-7514
(225) 922-8917
Mailing address
8425 CUMBERLAND PL, BATON ROUGE, LA 70806-6544
(225) 924-7514
(225) 922-8917
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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