Individual
DEBORA ANN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24397 STATE ROUTE 511, WELLINGTON, OH 44090-9232
(440) 371-9086
Mailing address
24397 STATE ROUTE 511, WELLINGTON, OH 44090-9232
(440) 371-9086
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
4701291
OH
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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