Individual
MRS. LISA M GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28902 N. 121ST LN., PEORIA, AZ 85383
(602) 380-2000
Mailing address
28902 N. 121ST LN., PEORIA, AZ 85383
(602) 380-2000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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