SearchOhio164W00000X

Stacey Gibson

NPI 1508117623 · on the registry since 2012 · sole proprietor

Practice

Address
3288 Highland Ave
Cincinnati, OH 45213
Phone
(513) 550-6175

Registry record

Primary taxonomy
164W00000X
164W00000X
Also registered as
374U00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-04-24

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 Ohio