Individual
LAUJWINAE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7204 HUD LN, TUSCALOOSA, AL 35405-6229
(478) 293-8878
Mailing address
7204 HUD LANE, TUSCALOOSA, AL 35405
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1781
AL
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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