Individual
JEAN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 S I ST, #206, TACOMA, WA 98405-5016
(253) 426-6753
(253) 426-6014
Mailing address
1624 S I ST, #206, TACOMA, WA 98405-5016
(253) 426-6753
(253) 426-6014
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00000386
WA
Other
Enumeration date
07/09/2007
Last updated
12/01/2010
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