Gibbons, Jennifer Daine

Gibbons, Jennifer Daine is an individual health care provider with primary practice located at 11776 Mariposa Rd , Hesperia CA 92345-1622. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gibbons, Jennifer Daine can be contacted via phone (760) 956-2462.

Contact Information

Primary practice address
11776 Mariposa Rd Hesperia CA 92345-1622
Phone: (760) 956-2462
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1770770810
LBN Legal business name Gibbons, Jennifer Daine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2007
Last updated Oct 7th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers