Individual
ANN GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 PEARL ST, #312, BOULDER, CO 80302-5130
(303) 993-4359
Mailing address
1035 PEARL ST, #312, BOULDER, CO 80302-5130
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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