Individual
MARY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29481 COVE CREEK LN, FARMINGTON HILLS, MI 48334-2401
(313) 460-2361
Mailing address
29481 COVE CREEK LN, FARMINGTON HILLS, MI 48334-2401
(313) 460-2361
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703033194
MI
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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