| Doctor Name: | DR. BARBARA MAE BATES-JENSEN |
| NPI Number: | 1144306804 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD, RN |
| License Number: | 330295 |
| Business Practice Address: | 16111 Plummer St (11e) Sepulveda, CA - 913432036 |
| Business Phone Number: | 8188959311 |
| Business Fax Number: | 8188959519 |
| Mailing Address: | 300 S Vinedo Ave, PASADENA |
| State: | CA |
| Postal Code: | 911074824 |
| Phone Number: | 6264498208 |
| Fax Number: | |
| NPI Enumeration Date: | 10/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WE0900X |
| License Number: | 330295 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Enterostomal Therapy |
| Taxonomy Definition: | |