SIATA ANICA GIBSON

TEMPLE HILLS, MD
NPI1023598091
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  R175106)
Enumeration Date2018-08-18
Last Update Date2023-06-10
Business Address
SIATA ANICA GIBSON NP-c
4467 OLD BRANCH AVE STE 207
TEMPLE HILLS, MD 20748-1854
Phone number: 301-630-3900
Mailing Address
SIATA ANICA GIBSON NP-c
9002 EARLY APRIL WAY
COLUMBIA, MD 21046-1473
Phone number: 240-277-7554
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