Diiehma Michelle Bates
Student in an Organized Health Care Education/Training Program in Hawthorne, CA. Individual provider (NPI-1).
NPI number1154907293
StatusActive
Last updated in NPPESMar 19, 2021
Details
- NPI
- 1154907293
- Entity type
- Individual (NPI-1)
- Name
- Diiehma Michelle Bates
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 19, 2021
- Certification date
- Mar 19, 2021
- Last updated
- Mar 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | CA | Yes |
Practice location
12100 Birch Ave Apt 20Hawthorne, CA 90250-3942
Phone 424-374-9244
Mailing address
12100 Birch Ave Apt 20Hawthorne, CA 90250-3942
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All 10 Student in an Organized Health Care Education/Training Program providers in Hawthorne · All 1,167 providers in Hawthorne
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