Individual
RHONDA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3646 MOUNT ELLIOTT ST, DETROIT, MI 48207-2311
(313) 626-2400
Mailing address
14349 TIMBERLINE DR, TAYLOR, MI 48180-8707
(313) 605-0889
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704272338
MI
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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