Individual
EIA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1011 UNION ST, OAKLAND, CA 94607-2236
(510) 879-8200
Mailing address
1011 UNION ST, OAKLAND, CA 94607-2236
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
81EFEE496A
CA
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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