Individual
MAURICE LEE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPC
Contact information
Practice address
216 JAMES ST, SEATTLE, WA 98104-5102
(206) 464-5454
Mailing address
216 JAMES ST, SEATTLE, WA 98104-5102
(206) 464-5454
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WA
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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