Individual
MRS. SANDRA YVONNE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9953 LEWIS AND CLARK BLVD STE 106, SAINT LOUIS, MO 63136-5336
(314) 868-4888
(314) 868-2291
Mailing address
1250 EDGEWATER DR, SAINT LOUIS, MO 63137-1105
(314) 868-4888
(314) 868-2291
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
73832311898322
MO
Other
Enumeration date
11/09/2006
Last updated
07/09/2007
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