Spring Angel Gardner

NPI #1922435213 in Dearborn Heights, Michigan

Provider Information

NPI Number: 1922435213
Entity Type: Individual
Name: Spring Angel Gardner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 1, 2013
Last Updated: Oct 1, 2013

Practice Location

Address: 3966 GERTRUDE ST
City: Dearborn Heights
State: Michigan
ZIP Code: 48125-2814
Phone: (313) 505-1675

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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