Individual
MS. KATHI SUE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2333W MARCH LN A1, STOCKTON, CA 95207-5263
(209) 475-8144
(209) 474-7679
Mailing address
2333W MARCH LN A1, STOCKTON, CA 95207-5263
(209) 475-8144
(209) 474-7679
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
21599
CA
Other
Enumeration date
04/17/2013
Last updated
09/03/2015
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