Individual
ROSANNA B GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R D
Contact information
Practice address
10755 FALLS ROAD, SUITE 360 PAVILION 1, LUTHERVILLE, MD 21093
(410) 583-2740
Mailing address
1112 LOWER GLENCOE ROAD, SPARKS GLENCOE, MD 21152-9466
(410) 472-3274
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
N00220
MD
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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