Individual
MRS. JUAKESHIA SMITH BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
706 FOREST AVENUE, MONTGOMERY, AL 36106-1005
(334) 649-1427
Mailing address
706 FOREST AVENUE, MONTGOMERY, AL 36106-1005
(334) 649-1427
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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