Alexandra Tara Gardner
Alexandra Tara Gardner is a Peer Specialist in Grass Valley, California. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
16573 Old Auburn RdGrass Valley, CA 95949
Phone: (530) 273-0631
Fax: (916) 504-4328
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Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1003694050 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 20, 2023 |
| Last updated in NPPES | September 20, 2023 |
| Certification date | September 19, 2023 |
| Mailing address | 16573 Old Auburn Rd, Grass Valley, CA 95949 |
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