Individual
MS. JEANNETTE BETTY GATEWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7055 SAMUEL MORSE DR, SUITE 200, COLUMBIA, MD 21046-3439
(410) 419-4077
Mailing address
7055 SAMUEL MORSE DR, SUITE 200, COLUMBIA, MD 21046-3439
(410) 419-4077
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R071299
MD
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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