Individual
TINA LOUISE GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 DAPHIA CIR APT 84, NEWPORT NEWS, VA 23601-1185
(757) 768-7827
(757) 782-2667
Mailing address
900 DAPHIA CIR APT 84, NEWPORT NEWS, VA 23601-1185
(757) 768-7827
(757) 782-2667
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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