Individual
SAMANTHA R GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3930 HOWARD HUGHES PKWY, LAS VEGAS, NV 89169-0943
(702) 560-2192
Mailing address
5987 NATURES DR, LAS VEGAS, NV 89122-6163
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
816057
NV
Other
Enumeration date
12/29/2023
Last updated
08/13/2024
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