NPI 1114558855

Nikia Cyna Gibson

Practitioner Respite Care Saint Rose, LA

Practice location

Address: 237 Riverview Dr, Saint Rose, LA 70087-3542
Phone: (313) 720-5874
Mailing address: PO Box 781, Saint Rose, LA 70087-0781

Registered specialties

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X Licence 011645451 (LA)

Other Respite Care providers in Louisiana →

Registry record

NPI: 1114558855
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jan 2020
Record last updated: 31 Jan 2020

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.