Individual
SATRINA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20037 LAHSER RD, DETROIT, MI 48219-1233
(248) 705-1118
Mailing address
400 MANISTIQUE ST, DETROIT, MI 48215-3124
(248) 705-1118
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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