Most Relevant Information
Provider Data
| NPI Number: | 1003306127 |
| Provider Name: | ANTRIM ANSARA GATES |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | 401684540814 |
Most Important Dates
| Enumeration Date: | 05/14/2018 |
| Last Updated: | 05/14/2018 |
Provider Practice Location
4564 DUNDEE AVE
COLUMBUS
OH
432272419
Practice Location Phone/Fax
| Phone: | 6145157044 |
| Fax: |
Provider Mailing Location
4564 DUNDEE AVE
COLUMBUS
OH
432272419
Provider Mailing Phone/Fax
| Phone: | 6145157044 |
| Fax: |