Individual
MELISSA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 NW 1ST AVE APT H1614, MIAMI, FL 33136-3573
(786) 541-5047
Mailing address
915 NW 1ST AVE APT H1614, MIAMI, FL 33136-3573
(786) 541-5047
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
234864
FL
Other
Enumeration date
05/13/2018
Last updated
05/13/2018
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