Individual
GARDIE LN JEAN-LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
359 PHEASANT RD W UNIT B, TWIN FALLS, ID 83301-8241
(561) 287-1515
Mailing address
359 PHEASANT RD W UNIT B, TWIN FALLS, ID 83301-8241
(561) 287-1515
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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