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Individual

MR. TOMMY L GARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS, BIOCHEMISTRY

Contact information

Practice address
54 AVENIDA ALDEA, SANTA FE, NM 87507-9449
(505) 919-8819
Mailing address
223 N GUADALUPE ST # 469, SANTA FE, NM 87501-1868
(505) 919-8819

Taxonomy

Speciality
Code
Description
License number
State
175L00000X
Homeopath
EXEMPT
NM
246ZB0500X
Biochemist
Primary

Other

Enumeration date
11/29/2012
Last updated
05/24/2021
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