Individual
WILDA DEAN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 S GARRETT ST, CENTER, TX 75935-4150
(936) 598-8963
Mailing address
PO BOX 385, CENTER, TX 75935-0385
(936) 598-8963
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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