Individual
FAITH ELLEN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 MLK, FLINT, MI 48502
(810) 238-0483
Mailing address
529 MLK, FLINT, MI 48502
(810) 238-0483
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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