NPI 1023429735
Latoya Gibson
Practice location
- Address
- 1235 Second North St, Vicksburg, MS 39183-3041
- Phone
- (769) 203-1025
- Mailing address
- 1235 Second North Street, Vicksburg, MS 39183
Registered specialties
Attendant Care Provider
Primary
Registry record
- NPI
- 1023429735
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 May 2014
- Record last updated
- 15 May 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.