Organization
GARDENIA AESTHETICS & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARL AMPARO NP (CEO)
(909) 708-7058
Entity
Organization
Contact information
Practice address
127 E STATE ST. SUITE 204, REDLANDS, CA 92373
(909) 708-7058
Mailing address
6340 ACORN CIRCLE, SAN BERNARDINO, CA 92407
(909) 708-7058
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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