Individual
ASHLEY BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3090 KETTERING HTS, GRAND BLANC, MI 48507-4521
(810) 732-8087
Mailing address
3090 KETTERING HTS, GRAND BLANC, MI 48507-4521
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703123560
MI
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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