JERRY LEE GARDNER

LAKEWOOD, CO
NPI1649494311
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: CO  41892)
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
Mr. JERRY LEE GARDNER LPN
1651 KENDALL ST
LAKEWOOD, CO 80214-1412
Phone number: 303-232-4002
Mailing Address
Mr. JERRY LEE GARDNER LPN
4851 INDEPENDENCE ST SUITE 200
WHEAT RIDGE, CO 80033-6715
Phone number: 303-425-0300