Individual
DR. KRYSTALYN ROSE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(203) 634-7020
Mailing address
800 ATLANTIC AVE APT 1, LONG BEACH, CA 90813-4580
(916) 206-9459
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
73263
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/25/2019
Last updated
05/19/2023
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