Individual
DANIELLE J GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2206 S 55TH ST, TEMPLE, TX 76504-6937
(330) 209-4381
Mailing address
2206 S 55TH ST, TEMPLE, TX 76504-6937
(330) 209-4381
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
951780
TX
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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