MS. Mavis A. Bates, L. AC.

NPI #1669778742 in Aurora, Illinois

Provider Information

NPI Number: 1669778742
Entity Type: Individual
Name: MS. Mavis A. Bates, L. AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L. AC.
Enumeration Date: Feb 7, 2011
Last Updated: Feb 7, 2011

Practice Location

Address: 412 N LAKE ST
City: Aurora
State: Illinois
ZIP Code: 60506-4106
Phone: (630) 605-9244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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