Individual
KATRINA LASHAWN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4712 WHITE OAK ST, COLUMBUS, GA 31907-3979
(706) 405-1744
Mailing address
4712 WHITE OAK ST, COLUMBUS, GA 31907-3979
(706) 405-1744
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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