SearchMaryland101YM0800X

Chanee Gibson

NPI 1861107922 · on the registry since 2023 · sole proprietor

Practice

Address
6463 Freedom Dr
Glen Burnie, MD 21061
Phone
(240) 264-0178

Additional practice sites

  • 6463 Freedom Dr, Glen Burnie, MD

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-23

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 Maryland