Individual
JESSICA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
8570 CO RD 589, NEVADA, TX 75173
(936) 355-2484
Mailing address
8570 COUNTY ROAD 589, NEVADA, TX 75173-7028
(936) 355-2484
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85686
TX
Other
Enumeration date
01/23/2019
Last updated
11/30/2021
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