Individual
ANN GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 WESTGATE RD, KENMORE, NY 14217-2318
(716) 465-7134
Mailing address
80 WESTGATE RD, KENMORE, NY 14217-2318
(716) 465-7134
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
235115-1
NY
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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