Individual
ALEXANDRIA NICOLE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-6600
(253) 968-0770
Mailing address
245 S GIBSON RD APT 12301, HENDERSON, NV 89012-2699
(661) 478-9453
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2023
Last updated
03/04/2025
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