Individual
IRENE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 5A43, NEWARK, DE 19718
(302) 623-0188
Mailing address
1250 E MARSHALL ST, BOX 980509, RICHMOND, VA 23298-5051
(804) 828-8786
(804) 828-5466
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0012842
DE
Other
Enumeration date
04/29/2015
Last updated
09/12/2018
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