Individual
MRS. VONETTA MARIE GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2589 44TH ST SE, GRAND RAPIDS, MI 49512-3877
(616) 643-2500
Mailing address
3729 THUNDERBIRD AVE SW, GRANDVILLE, MI 49418-2246
(616) 262-1544
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5201005925
MI
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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