SearchCalifornia103K00000X

Devory Gibson Jr

NPI 1790554822 · on the registry since 2023 · sole proprietor

Practice

Address
33090 Mountain View Ave
Lake Elsinore, CA 92530
Phone
(347) 323-4150

Registry record

Primary taxonomy
103K00000X
103K00000X
Sex
Male
Record last updated
2023-12-29

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