Individual
TERA GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3890 DUNN AVE, JACKSONVILLE, FL 32218-6428
(904) 765-0665
Mailing address
3890 DUNN AVE, JACKSONVILLE, FL 32218-6428
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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