Organization
GSK GROUP, INC.
Active
Other names
Gateway Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GLADYS SAMSON (PRESIDENT)
(209) 478-0691
Entity
Organization
Contact information
Practice address
2087 GRAND CANAL BLVD, SUITE 10, STOCKTON, CA 95207-6651
(209) 478-0691
(209) 478-0919
Mailing address
2087 GRAND CANAL BLVD, SUITE 9B, STOCKTON, CA 95207-6651
(209) 478-0691
(209) 478-0919
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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