Individual
MRS. JENNIFER MICHELLE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSA
Contact information
Practice address
6211 WATERFORD BLVD, EVANSVILLE, IN 47715-2869
(812) 456-6202
(618) 997-8214
Mailing address
6211 WATERFORD BLVD, EVANSVILLE, IN 47715-2869
(812) 465-6202
(618) 997-8214
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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