Individual
MISS LAUREN MAREE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
800 N STATE COLLEGE BLVD, FULLERTON, CA 92831-3547
(657) 278-5318
Mailing address
2404 NUTWOOD AVE, APT I33, FULLERTON, CA 92831-3117
(610) 844-8014
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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