Individual
CYNTHIA JANE GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-2740
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-2740
(573) 302-2755
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2021006959
MO
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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