Individual
EUGENE MCLUTHER BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11111 IRIS CT, CORONA, CA 92883-3112
(191) 894-9191
Mailing address
11111 IRIS CT, CORONA, CA 92883-3112
(191) 894-9191
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95186002
CA
Other
Enumeration date
06/22/2022
Last updated
02/10/2023
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