Individual
CARLA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 BAKER ST APT 4, SAN FRANCISCO, CA 94117-3032
(415) 298-6895
Mailing address
25 BAKER ST APT 4, SAN FRANCISCO, CA 94117-3032
(415) 298-6895
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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