Individual
MRS. ELIZABETH BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1502 TENNESSEE ST, VALLEJO, CA 94590-4627
(707) 652-2928
Mailing address
1220 W L ST, BENICIA, CA 94510-2425
(707) 334-2845
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95018437
CA
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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