Individual
KATRINA LAVERNE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INDEPENDANT PROVIDER
Contact information
Practice address
120 RUTH ELLEN DR APT H311, RICHMOND HTS, OH 44143-1028
(216) 240-7216
(216) 472-8530
Mailing address
120 RUTH ELLEN DR APT H311, RICHMOND HTS, OH 44143-1028
(216) 240-7216
(216) 472-8530
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1831901
OH
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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