Anita Lasheryl Gibson
NPI #1770210718 in Canton, Mississippi
Provider Information
- NPI Number
- 1770210718
- Entity Type
- Individual
- Name
- Anita Lasheryl Gibson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Contractor - Vehicle Modifications
- Enumeration Date
- Aug 1, 2022
- Last Updated
- Aug 1, 2022
Practice Location
- Address
- 108 BANKSIDE DR
- City
- Canton
- State
- Mississippi
- ZIP Code
- 39046-5039
- Phone
- (314) 456-9566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor - Vehicle Modifications — Vehicle Modifications |
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