Individual
PATRICIA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9061 JOSHUA LN, YUCCA VALLEY, CA 92284-6308
(760) 333-3358
Mailing address
9061 JOSHUA LN, YUCCA VALLEY, CA 92284-6308
(760) 333-3358
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
18036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
03/24/2021
Last updated
03/24/2021
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