Grace Ann Gibson RD

NPI 1346427341 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1346427341
Gender Female
Enumeration Date 01/22/2008
Last Updated 12/27/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
301-6 GREAT TEAYS BLVD
SCOTT DEPOT WV, 25560, US
Phone (304) 757-6999
Fax (304) 757-3252
Business Location
301-6 GREAT TEAYS BLVD
SCOTT DEPOT WV, 25560, US
Phone (304) 757-6999
Fax (304) 757-3252
Toxanomy
Taxonomy Code 133V00000X
License State West Virginia
License Number 9
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According to our database, Grace Ann Gibson RD NPI is 1346427341, taxonomy code is 133V00000X and license number is 9, license state is located at West Virginia. Grace Ann Gibson RD physically located at 301-6 Great Teays Blvd, Scott Depot WV, 25560. NPI Number Grace Ann Gibson RD has the Individual type.

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1346427341 NPI number is provided on an as is basis without warranty of any kind. 1346427341 is maintained by the National Plan & Provider Enumeration System. The contents of Grace Ann Gibson RD are for informational purposes only.