Individual
MELANIE GATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
125 JEFF DAVIS AVE, LONG BEACH, MS 39560-6134
(228) 346-1711
Mailing address
125 JEFF DAVIS AVE, LONG BEACH, MS 39560-6134
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2650
MS
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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