Willie Gibbs
Technician, Attendant Care Provider in Chesapeake, VA. Individual provider (NPI-1).
NPI number1720639214
StatusActive
Last updated in NPPESSep 25, 2019
Details
- NPI
- 1720639214
- Entity type
- Individual (NPI-1)
- Name
- Willie Gibbs
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2019
- Last updated
- Sep 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
518 Greystone LnChesapeake, VA 23320-3219
Phone 757-547-3272
Mailing address
518 Greystone LnChesapeake, VA 23320-3219
Phone 757-547-3272
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