Individual
MRS. JENNIFER LYNN GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
924 BIG EASY ST, ODESSA, TX 79765-2295
(806) 773-2873
Mailing address
924 BIG EASY ST, ODESSA, TX 79765-2295
(806) 773-2873
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/13/2021
Last updated
11/13/2021
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