Individual
MR. ANTRIM ANSARA GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4564 DUNDEE AVE, COLUMBUS, OH 43227-2419
(614) 515-7044
Mailing address
4564 DUNDEE AVE, COLUMBUS, OH 43227-2419
(614) 515-7044
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401684540814
OH
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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