Individual
CYNTHIA LEWIS GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5673 JEFFERSON PAIGE RD, SHREVEPORT, LA 71119-5401
(318) 218-9473
(318) 631-4773
Mailing address
PO BOX 37365, SHREVEPORT, LA 71133-7365
(318) 218-9473
(318) 631-4773
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
002396694
LA
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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