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Diiehma Bates

NPI 1154907293 · on the registry since 2021 · sole proprietor

Practice

Address
12100 Birch Ave Apt 20
Hawthorne, CA 90250
Phone
(424) 374-9244

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California