LACEY RAE GIBSON

TUBA CITY, AZ
NPI1184287633
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ  227532)
Additional Taxonomies163W00000X Registered Nurse
(Licence: AZ  RN159748)
Enumeration Date2019-04-19
Last Update Date2024-09-26
Business Address
LACEY RAE GIBSON CRNA
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-1621
Phone number: 602-315-8661
Mailing Address
LACEY RAE GIBSON CRNA
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-1621
Phone number: 602-315-8661