Individual
DEIADRA GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2412 MINNESOTA AVE SE, WASHINGTON, DC 20020-5300
(301) 704-3812
Mailing address
15620 ELSMERE CT, BOWIE, MD 20716-2628
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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