Individual
DR. STEPHANIE LYNN GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2103 GAUSE BLVD E, SLIDELL, LA 70461-4229
(985) 643-5743
Mailing address
113 RUE DE LA PAIX, SLIDELL, LA 70461-5302
(985) 290-1621
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PST.022619
LA
Other
Enumeration date
09/01/2018
Last updated
09/01/2018
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