NPI Profile for JESSICA R GIBBONS in SAINT GEORGE, UT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diabetes Educator |
163WD0400X |
| NPI # | 1952398307 |
|
| Status | Active | |
| Credentials | RD (Registered Dietitian) | |
| Entity | Individual | |
| Enumeration date | 09/30/2005 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JESSICA R GIBBONS
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