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Individual

PRECIOUS MONIQUE BATES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
701 BATES RD, FRIERSON, LA 71027-2018
(318) 947-0588
(318) 532-6824
Mailing address
701 BATES RD, FRIERSON, LA 71027-2018
(318) 947-0588
(318) 532-6824

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114428828
LA
Enumeration date
02/27/2018
Last updated
03/04/2022
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