Individual
CAROLYN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
303 GRIZZLY TRL, HARKER HEIGHTS, TX 76548-5628
(254) 252-5757
Mailing address
303 GRIZZLY TRL, HARKER HEIGHTS, TX 76548-5628
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
90417
TX
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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