Individual
MS. LORETTA BERNADETTE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
589 WEST OCEANVIEW #2, NORFOLK, VA 23503
(757) 345-1035
Mailing address
589 WEST OCEANVIEW #2, NORFOLK, VA 23503
(757) 345-1035
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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