Individual
PRESCIOUS GATEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5317 85TH AVE APT 202, NEW CARROLLTN, MD 20784-3216
(615) 919-4104
Mailing address
5317 85TH AVE APT 202, NEW CARROLLTN, MD 20784-3216
(615) 919-4104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/07/2021
Last updated
02/07/2021
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