Individual
ADRIENNE NICHOLE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
265 N BINKLEY ST, SUITE 101, SOLDOTNA, AK 99669-7523
(907) 262-6550
Mailing address
198 TRUMPETER AVE, SOLDOTNA, AK 99669-7913
(907) 398-5193
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
922491
AK
Other
Enumeration date
11/22/2008
Last updated
11/22/2008
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