QUARTIVIA GIBSON

LAFAYETTE, LA
NPI1003510181
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS  905847)
Enumeration Date2023-03-30
Last Update Date2023-06-09
Business Address
QUARTIVIA GIBSON
202 GENERAL GARDNER AVE
LAFAYETTE, LA 70501-7824
Phone number: 337-232-9457
Mailing Address
QUARTIVIA GIBSON
5439 BURKHARDT RD
DAYTON, OH 45431-2111
Phone number: 601-910-1168
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