Individual
JESSIE NOEL GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 EASY ST APT A, CORPUS CHRISTI, TX 78418-3185
(361) 549-6916
Mailing address
318 EASY ST APT A, CORPUS CHRISTI, TX 78418-3185
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
326788
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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