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Anita Lasheryl Gibson
Vehicle Modifications Contractor in Canton, Mississippi
NPI 1770210718

Anita Lasheryl Gibson is a Vehicle Modifications Contractor based in Canton, MS and is specialized in Vehicle Modifications. Anita Lasheryl Gibson practices in Canton, MS. The NPI Number for Anita Lasheryl Gibson is 1770210718 and holds a License No. (Mississippi).

The current practice location address for Anita Lasheryl Gibson is 108 Bankside Dr, Canton, MS and can be reached out via phone at 314-456-9566 and via fax at 601-790-9759.

Location: 108 Bankside Dr, Canton, MS, 39046-5039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770210718
Provider Name
Anita Lasheryl Gibson
Credential
Provider Entity Type
Individual
Gender
Female
Address
108 Bankside Dr, Canton, MS, 39046-5039
Phone Number
314-456-9566
Fax Number
601-790-9759
Provider Enumeration Date
08/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
108 Bankside Dr
City
Canton
State
Mississippi
Zip
39046-5039
Phone Number
314-456-9566
Fax Number
601-790-9759
person
Provider Business Mailing Address Details
Address
108 Bankside Dr
City
Canton
State
Mississippi
Zip
39046-5039
Phone Number
314-456-9566
Fax Number
601-790-9759
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
Vehicle Modifications
Taxonomy
171WV0202X
License No.
(Mississippi)
Definition
A contractor who makes modifications to private vehicles to accommodate a health condition.
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