MS. Leaetta Mildred Gardner, LPN/ADM

NPI #1518303296 in Rolla, Missouri

Provider Information

NPI Number
1518303296
Entity Type
Individual
Name
MS. Leaetta Mildred Gardner, LPN/ADM
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nursing Facility/Intermediate Care Facility
Credential
LPN/ADM
Enumeration Date
May 21, 2013
Last Updated
May 21, 2013

Practice Location

Address
13450 COUNTY ROAD 7040
City
Rolla
ZIP Code
65401
Phone
(573) 341-8000

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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