Individual
JENNIFER ERCLE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,IBCLC
Contact information
Practice address
391 DENNING RD, COPENHAGEN, NY 13626-3403
(315) 778-6280
Mailing address
391 DENNING RD, COPENHAGEN, NY 13626-3403
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-151282
NY
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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