Individual
MRS. HEATHER L GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
121 W WISTERIA RD, WILDWOOD CREST, NJ 08260-1204
(610) 507-1718
Mailing address
121 W WISTERIA RD, WILDWOOD CREST, NJ 08260-1204
(610) 507-1718
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18KT00666400
NJ
Other
Enumeration date
06/06/2012
Last updated
06/11/2014
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