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

Shauna Latiece Gibson

Individual provider Contractor · NPI 1902442221

Shauna Latiece Gibson is a Contractor in Willowick, Ohio. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

31624 N Marginal Dr Apt F
Willowick, OH 44095-4422
Phone: (440) 529-9931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1902442221
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 21, 2019
Last updated in NPPESNovember 21, 2019
Mailing address31624 N Marginal Dr Apt F, Willowick, OH 44095-4422

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