Individual
STEPHANIE R GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1535 E STATE FAIR, DETROIT, MI 48203-1257
(313) 891-2740
Mailing address
31348 SCHOENHERR RD APT 3, WARREN, MI 48088-1949
(586) 360-0809
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
082903542
MI
Other
Enumeration date
01/27/2023
Last updated
03/11/2023
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