Individual
MRS. SHONDALIN A GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30277 COPPERWOODS DR, GRANGER, IN 46530-5124
(574) 343-2057
Mailing address
30277 COPPERWOODS DR, GRANGER, IN 46530-5124
(574) 343-2057
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
8919032164
IN
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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