DEIDRE GIBSON

WINSTON SALEM, NC
NPI1396412961
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5013002)
Enumeration Date2021-08-23
Last Update Date2021-08-23
Business Address
DEIDRE GIBSON
1094 HANES MALL BLVD STE 1140
WINSTON SALEM, NC 27103-1309
Phone number: 743-212-7678
Mailing Address
DEIDRE GIBSON
1094 HANES MALL BLVD STE 1140
WINSTON SALEM, NC 27103-1309
Phone number:
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