Wylma Gibbs | |
5626 Sultana Ave Apt 3 Temple City CA 91780-2374 | |
(626) 827-0418 | |
Not Available |
Full Name | Wylma Gibbs |
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Speciality | Marriage & Family Therapist |
Location | 5626 Sultana Ave Apt 3, Temple City, California |
Authorized Official Name and Position | Wylma Gibbs (MARRIAGE FAMILY THERAPIST) |
Authorized Official Contact | 6268270418 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wylma Gibbs 5626 Sultana Ave Apt 3 Temple City CA 91780-2374 Ph: (626) 827-0418 | Wylma Gibbs 5626 Sultana Ave Apt 3 Temple City CA 91780-2374 Ph: (626) 827-0418 |
NPI Number | 1992201974 |
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Provider Enumeration Date | 03/30/2018 |
Last Update Date | 03/30/2018 |
Identifier | Type | State | Issuer |
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1992201974 | NPI | - | NPPES |
1295867901 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFC49020 (California) | Primary |