Individual
COURTNEY GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1270 BLACK HAWK RD, WATERLOO, IA 50701-3440
(319) 232-2127
Mailing address
1270 BLACK HAWK RD, WATERLOO, IA 50701-3440
(319) 232-2127
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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