TERRAN ELIZABETH GATES

HARRISON, AR
NPI1013635945
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: AR  OPP00298)
Additional Taxonomies222Z00000X 
(Licence: AR  OPP00298)
Enumeration Date2022-08-17
Last Update Date2023-09-14
Business Address
TERRAN ELIZABETH GATES CPO, MSPO
1325 N MAIN ST
HARRISON, AR 72601-2212
Phone number: 479-418-2297
Mailing Address
TERRAN ELIZABETH GATES CPO, MSPO
11766 VALLEYVIEW LN
BENTONVILLE, AR 72712-9330
Phone number: 870-307-2174