Individual
THOMASINA GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
704 W HISTORIC RT. 66, SUITE 200, WAYNESVILLE, MO 65583-2163
(573) 774-3121
Mailing address
704 W HISTORIC RT. 66, SUITE 200, WAYNESVILLE, MO 65583-2163
(573) 774-3121
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2011001990
MO
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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