Individual
DEWAYNE HARVEY-GATEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23060 HALSTED RD APT 121, FARMINGTON HILLS, MI 48335-3744
(919) 673-7743
Mailing address
23060 HALSTED RD APT 121, FARMINGTON HILLS, MI 48335-3744
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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