Individual
ANTONIA GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32929 MILLS RD, NORTH RIDGEVILLE, OH 44039-2351
(216) 258-8927
Mailing address
6060 RUPLE PKWY, BROOKPARK, OH 44142-1041
(216) 258-8927
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165241
—
OH
Enumeration date
11/16/2022
Last updated
11/16/2022
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