Individual provider · Type 1 NPI

Dakota Blue Bates, MSW INTERN

Student in an Organized Health Care Education/Training Program · Ontario, CA

NPI number 1235682808 Active

Practice location

1556 S Sultana Ave
Ontario, CA 91761-4238

Call (909) 418-6923 Map

Fax (909) 418-6937

Mailing address

16575 Mallory Dr
Fontana, CA 92335-6610

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235682808

Dakota Blue Bates, MSW INTERN's National Provider Identifier is 1235682808, issued on Jul 29, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ontario, CA. The record was last updated on Jul 29, 2016.