Individual
MS. MONTA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 542-4188
Mailing address
3990 OLD TOWN AVE, C107, SAN DIEGO, CA 92110-2930
(619) 688-1804
(619) 688-1548
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
282780
CA
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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