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Marquis Gardner

NPI 1972951168 · on the registry since 2016 · sole proprietor

Practice

Address
7062 Lanewood Ave
1
Los Angeles, CA 90028
Phone
(310) 745-6894

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-05-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California