Individual
EDWARD GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1700 IOWA AVE, SUITE 230, RIVERSIDE, CA 92507-2420
(951) 369-8604
(951) 715-4594
Mailing address
4426 UNIVERSITY AVE, RIVERSIDE, CA 92501-3146
(951) 788-8131
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
280999
CA
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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