JOSHUA LOGAN GIBSON

STOCKTON, CA
NPI1154983104
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-06-30
Last Update Date2019-06-30
Business Address
JOSHUA LOGAN GIBSON
405 E PINE ST
STOCKTON, CA 95204-5522
Phone number: 209-464-5519
Mailing Address
JOSHUA LOGAN GIBSON
3601 PACIFIC AVE
STOCKTON, CA 95211-0110
Phone number: