Most Relevant Information
Provider Data
| NPI Number: | 1003061763 |
| Provider Name: | ADRIENNE NICHOLE GARDNER MASSAGE THERAPIST |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: | 922491 |
Most Important Dates
| Enumeration Date: | 11/22/2008 |
| Last Updated: | 11/22/2008 |
Provider Practice Location
265 N BINKLEY ST
SUITE 101
SOLDOTNA
AK
996697523
Practice Location Phone/Fax
| Phone: | 9072626550 |
| Fax: |
Provider Mailing Location
198 TRUMPETER AVE
SOLDOTNA
AK
996697913
Provider Mailing Phone/Fax
| Phone: | 9073985193 |
| Fax: |