Individual
NIKITA J BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
820 PEARL ST, ELKHART, IN 46516-2607
(574) 350-5292
Mailing address
820 PEARL ST, ELKHART, IN 46516-2607
(574) 350-5292
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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