Individual
MISS MERVEL DELORES GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 6TH AVE SE, LACEY, WA 98503-1042
(360) 459-8311
Mailing address
4200 6TH AVE SE, LACEY, WA 98503-1042
(360) 459-8311
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
9457121
FL
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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