Individual
MR. WENDELL REESE BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 RUSSELL AVE, NEW ORLEANS, LA 70143-5077
(504) 678-3660
Mailing address
7030 BEAUVOIR CT, NEW ORLEANS, LA 70128-2504
(504) 342-2342
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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