Individual
ANGELA ROSE GIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6500 MORRO RD STE C&D, ATASCADERO, CA 93422-4142
(805) 461-5212
Mailing address
6500 MORRO RD STE C&D, ATASCADERO, CA 93422-4142
(805) 461-5212
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
125505
CA
Other
Enumeration date
01/12/2020
Last updated
01/12/2020
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