Individual
JACQUELINE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
W. 101 EIGTH AVENUE, SPOKANE, WA 99204
(509) 474-3131
Mailing address
2303 N PALISADES, SPOKANE, WA 99224-9535
(509) 993-5986
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30007633
WA
Other
Enumeration date
01/26/2007
Last updated
04/09/2020
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