Individual
MRS. KATHY BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
9958 POSEIDON DR, ANCHORAGE, AK 99515-4508
(907) 344-8253
(907) 344-2171
Mailing address
9958 POSEIDON DR, ANCHORAGE, AK 99515-4508
(907) 344-8253
(907) 344-2171
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
921526
AK
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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