Individual
DR. CRYSTAL L GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
719 DELTA ST, REDDING, CA 96003-3526
(530) 209-2679
Mailing address
719 DELTA ST, REDDING, CA 96003-3526
(530) 209-2679
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
531420
CA
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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