Individual
ELANA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4647 ZION AVE, SAN DIEGO, CA 92120-2507
(619) 528-5000
Mailing address
1144 13TH ST # 102257, IMPERIAL BEACH, CA 91932-3675
(619) 735-3354
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D8755796
CA DRIVER'S LICENSE
CA
Enumeration date
08/02/2018
Last updated
08/02/2018
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