SHAVION BATES

SAN DIEGO, CA
NPI1508130030
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2012-03-01
Last Update Date2012-03-01
Business Address
Miss SHAVION BATES IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 917-388-6552
Mailing Address
Miss SHAVION BATES IDC
34101 FARENHOLT AVE
SAN DIEGO, CA 92134-7000
Phone number: 917-388-6552
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