Individual
MRS. AMANDA GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
46 DANIELS ST, MILLIS, MA 02054-1218
(508) 686-6516
Mailing address
46 DANIELS ST, MILLIS, MA 02054-1218
(508) 686-6516
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN102653
MA
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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