DARRYL LEE GARDNER

LOS ANGELES, CA
NPI1770762130
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2007-11-01
Last Update Date2014-03-11
Business Address
-- DARRYL LEE GARDNER
526 S SAN PEDRO ST
LOS ANGELES, CA 90013-2102
Phone number: 213-488-9559
Mailing Address
-- DARRYL LEE GARDNER
3137 W 139TH ST 104
HAWTHORNE, CA 90250-7864
Phone number: 213-488-9559