Individual
ALICIA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
497 DARTMOUTH AVE, BUFFALO, NY 14215-1227
(716) 602-8098
Mailing address
497 DARTMOUTH AVE, BUFFALO, NY 14215-1227
(716) 602-8098
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323419
NY
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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