Individual
INGRID BATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5739 W HOMECOMING CIR APT D, EASTVALE, CA 91752-6629
(949) 444-6294
(949) 515-2091
Mailing address
5739 W HOMECOMING CIR APT D, EASTVALE, CA 91752-6629
(949) 444-6294
(949) 515-2091
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN291850
CA
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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