Individual
ANDREA R. BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
502 S WILLIS ST, VISALIA, CA 93277-2526
(916) 208-6056
Mailing address
PO BOX 582156, ELK GROVE, CA 95758-0036
(916) 208-6056
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G71770
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G71770
LICENSE
CA
Enumeration date
11/29/2006
Last updated
03/19/2015
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