Shonda Gibson is a Driver based in Cincinnati, OH. Shonda Gibson practices in Cincinnati, OH. The NPI Number for Shonda Gibson is 1609434828 and holds a License No. SD661078 (Ohio).
The current practice location address for Shonda Gibson is 2166 Crane Ave, Cincinnati, OH and can be reached out via phone at 513-307-7424.
Location: 2166 Crane Ave, Cincinnati, OH, 45207-1321
Provider Profile Details
NPI Number
1609434828
Provider Name
Shonda Gibson
Credential
Provider Entity Type
Individual
Gender
Female
Address
2166 Crane Ave, Cincinnati, OH, 45207-1321
Phone Number
513-307-7424
Fax Number
Provider Enumeration Date
06/03/2019
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0205505 | 05 | OH |
Provider Business Practice Location Address Details
Address
2166 Crane Ave
City
State
Zip
45207-1321
Phone Number
513-307-7424
Fax Number
Provider Business Mailing Address Details
Address
2166 Crane Ave
City
State
Zip
45207-1321
Phone Number
513-307-7424
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
SD661078 (Ohio)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
Badge
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