Search › California › 172V00000X
Marquez Gibson
NPI 1134785249 · on the registry since 2019
Practice
- Address
- 776 S State St Ste 103
Ukiah, CA 95482 - Phone
- (707) 463-4915
- Organisation at this address
- Mendocino County Youth Project
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 53
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California