Individual
IVORINE M GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
4007 N UNIVERSITY DR, APT F102, SUNRISE, FL 33351-6368
(954) 588-1495
Mailing address
4007 N UNIVERSITY DR, APT F102, SUNRISE, FL 33351-6368
(954) 588-1495
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5207256
FL
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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