Individual
JAIME HEATHER GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P., C.H.P.
Contact information
Practice address
209 4TH AVENUE SUITE #214, OLYMPIA, WA 98501
(360) 870-2659
Mailing address
2314 CAPITOL WAY S, OLYMPIA, WA 98501-2833
(360) 087-0265
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00021255
WA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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