Individual
DANIELLE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2009 NE 117TH ST STE 101, VANCOUVER, WA 98686-4022
(360) 566-9112
Mailing address
2009 NE 117TH ST STE 101, VANCOUVER, WA 98686-4022
(360) 566-9112
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60975399
WA
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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