Individual
ANTOINETTE LYNNE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5930 CORNERSTONE CT W, SAN DIEGO, CA 92121-3741
(866) 687-7390
Mailing address
13010 CHESTNUT STREAM TRL, HOUSTON, TX 77070-1174
(210) 724-3483
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1139689
TX
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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