Individual
MEGAN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 S MOUNT VERNON AVE, WILLIAMSBURG, VA 23185-2835
(757) 229-4121
Mailing address
254 FIELD STONE LN, APARTMENT 201, NEWPORT NEWS, VA 23602-7871
(908) 235-9812
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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