Individual provider · Type 1 NPI

Anita Lasheryl Gibson

Vehicle Modifications Contractor · Canton, MS

NPI number 1770210718 Active

Practice location

108 Bankside Dr
Canton, MS 39046-5039

Call (314) 456-9566 Map

Fax (601) 790-9759

Specialties and licenses

TaxonomyCodeLicense
Vehicle Modifications Contractor Primary 171WV0202XNone listed

Vehicle Modifications Contractor: A contractor who makes modifications to private vehicles to accommodate a health condition.

About NPI 1770210718

Anita Lasheryl Gibson's National Provider Identifier is 1770210718, issued on Aug 1, 2022. The primary taxonomy on file is Vehicle Modifications Contractor (171WV0202X), and the practice location is in Canton, MS. The record was last updated on Aug 1, 2022.