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Individual

ANITA MICHELLE GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
23451 MADISON ST, STE 340, TORRANCE, CA 90505-4763
(310) 373-6864
(310) 373-9547
Mailing address
23451 MADISON ST, STE 340, TORRANCE, CA 90505-4763
(310) 373-6864
(310) 373-9547

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP14153
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NP14153
NURSE PRACTITIONER
CA
Enumeration date
12/15/2006
Last updated
07/02/2013
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