Individual
SANDRA K GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1401 16TH ST SW, WILLMAR, MN 56201-2827
(320) 231-1527
(320) 231-0796
Mailing address
1401 16TH ST SW, WILLMAR, MN 56201-2827
(320) 231-1527
(320) 231-0796
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1874
MN
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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