Search › California › 106H00000X

Cornelia Gibson

NPI 1700940806 · on the registry since 2006 · sole proprietor

Practice

Address
1652 W Texas St
Suite 204
Fairfield, CA 94533
Phone
(707) 384-7303
Fax
(707) 247-4233
Organisation at this address
La Tanya Takla
Agape Love Home Care
Ri-Vive Wellness Llc
Jem C Enterprises Llc
Best Foster Care Agency
Inferred from a shared address, not stated in the registry.
Clinicians at this address
69

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-06-29

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