Individual
MYKIA LANAE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 ELMHURST PL APT C, BUFFALO, NY 14216-3149
(716) 935-8689
Mailing address
104 ELMHURST PL APT C, BUFFALO, NY 14216-3149
(716) 935-8689
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
05/01/2025
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