Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT00001642 | WA |
NPI | 1053573386 |
---|---|
Provider Name | Dr. Deneb R Bates |
First Address | Olympia, WA 98502-4657 |
Second Address | Olympia, WA 98502-4657 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2008 |
Last Update Date | 27/06/2008 |