Individual
VONDA LEE GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
US HWY 18, PINE RIDGE IHS, PINE RIDGE, SD 57770
(605) 867-3007
Mailing address
22910 FOREST RD, RAPID CITY, SD 57702-8508
(605) 209-7115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
SD RN R036130
SD
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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