Individual
ANGELA GIBBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-3649
(563) 382-8183
Mailing address
PO BOX 349, DECORAH, IA 52101-0349
(563) 382-3649
(563) 382-8183
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
119552
IA
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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