Individual
NICOLE R GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12817 WOLCOTT RD, SAINT PARIS, OH 43072-9608
(253) 230-9138
Mailing address
12817 WOLCOTT RD, SAINT PARIS, OH 43072-9608
(253) 230-9138
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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