Individual
MS. CYNTHIA SUE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
43423 DIVISION ST, SUITE 107, LANCASTER, CA 93535-4639
(661) 726-2850
(661) 726-2854
Mailing address
39609 179TH ST E, PALMDALE, CA 93591-3308
(661) 264-4592
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT20499
CA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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