Individual
MONICA GIBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6013 TRESTLE ST, CRESTVIEW, FL 32536-4379
(937) 830-9693
Mailing address
6013 TRESTLE ST, CRESTVIEW, FL 32536-4379
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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