Simone Gibeau
Student in an Organized Health Care Education/Training Program in Rochester, NY. Individual provider (NPI-1).
NPI number1003607037
StatusActive
Last updated in NPPESMay 17, 2025
Details
- NPI
- 1003607037
- Entity type
- Individual (NPI-1)
- Name
- Simone Gibeau
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 17, 2025
- Certification date
- May 17, 2025
- Last updated
- May 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NY | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
601 Elmwood AveRochester, NY 14642-0001
Phone 585-275-2100
Mailing address
5405 Howell StArvada, CO 80002-1525
Phone 303-956-1092
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