Individual
MRS. MARY THERESA BATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, ACNPC, RN
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
(909) 583-6709
Mailing address
1459 E BROCKTON AVE, REDLANDS, CA 92374-3870
(909) 794-3965
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
515618
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
14380
CA
Other
Enumeration date
09/17/2006
Last updated
10/07/2010
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