Organization
GATEWAY CAPITAL CORPORATION
Active
Other names
Rich's Orthopedic & Regular Shoes
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELYNN D GOUIN C.PED (PRESIDENT)
(619) 523-6222
Entity
Organization
Contact information
Practice address
7763 BROADWAY, LEMON GROVE, CA 91945-1701
(619) 464-8391
(619) 523-0311
Mailing address
7763 BROADWAY, LEMON GROVE, CA 91945-1701
(619) 523-6222
(619) 523-0311
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/01/2007
Last updated
11/23/2007
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