Individual
DELORIS MARIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN CDE
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-2200
Mailing address
3257 KNOX DALE RD, REYNOLDSVILLE, PA 15851-1921
(814) 938-8042
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN000176
PA
Other
Enumeration date
10/27/2019
Last updated
10/27/2019
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