Individual
AMALIA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9943 CANOGA AVE, CHATSWORTH, CA 91311-3002
(760) 579-9599
Mailing address
1950 WHITMORE AVE APT 7, LOS ANGELES, CA 90039-3733
(760) 579-9599
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC16632
CA
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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