Individual
MRS. MARY ELIZABETH GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
791 AQUAHART RD, 3RD FLOOR, GLEN BURNIE, MD 21061-3961
(410) 222-6838
(410) 222-6840
Mailing address
4313 OWENSBROOKE CT, WEST RIVER, MD 20778-9792
(410) 867-7505
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R124584
MD
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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