Individual
MS. EBONY LACHE GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10530 CAMPUS WAY S STE 1223, UPPER MARLBORO, MD 20774-1309
(888) 912-5922
Mailing address
10530 CAMPUS WAY S STE 1223, UPPER MARLBORO, MD 20774-1309
(888) 912-5922
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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