NPI 1265942064
Jakira Gibbs
Practice location
- Address
- 415 Neponset Ave, Dorchester, MA 02122-3168
- Phone
- (857) 217-3700
- Mailing address
- 56 W Wyoming Ave, Melrose, MA 02176-3766
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1265942064
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 5 Oct 2017
- Record last updated
- 5 Oct 2017
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.