Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marquez Willis Gibson Jr.

Individual provider Community Health Worker · NPI 1134785249

Marquez Willis Gibson Jr. is a Community Health Worker in Ukiah, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

776 S State St Ste 103
Ukiah, CA 95482-5833
Phone: (707) 463-4915
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)

Record details

NPI number1134785249
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 14, 2019
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023

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