Individual
MS. MARANDA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2272 CLOVER RIDGE CT, EAGLE LAKE, FL 33839-3917
(863) 617-2728
Mailing address
2272 CLOVER RIDGE CT, EAGLE LAKE, FL 33839-3917
(863) 617-2728
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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