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Individual

NICHOLE MARIE GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ND

Contact information

Practice address
3012 S DURANGO DR, STE 1 DIAGNOSTIC CENTER OF MEDICINE, LAS VEGAS, NV 89117
(702) 366-0640
(702) 366-9075
Mailing address
3012 S DURANGO DR, STE 2 DIAGNOSTIC CENTER OF MEDICINE, LAS VEGAS, NV 89117
(702) 366-1655
(702) 385-4955

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
NT00001585
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NT00001585
STATE LICENSE
WA
Enumeration date
02/01/2008
Last updated
02/01/2008
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