Individual
BEULAH GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
942 E 216TH ST, EUCLID, OH 44119-2422
(216) 239-7472
Mailing address
942 E 216TH ST, EUCLID, OH 44119-2422
(216) 239-7472
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
501096250406
OH
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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