Most Relevant Information
Provider Data
| NPI Number: | 1003448945 |
| Provider Name: | MAIYA GIBSON |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/09/2020 |
| Last Updated: | 02/09/2020 |
Provider Practice Location
1101 CAMDEN AVE
SALISBURY
MD
218016837
Practice Location Phone/Fax
| Phone: | 4105436000 |
| Fax: |
Provider Mailing Location
12 RAMBLING OAKS WAY APT E
CATONSVILLE
MD
212281525
Provider Mailing Phone/Fax
| Phone: | 4104992927 |
| Fax: |