Individual
TATE TATRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
817 W HIGH ST, JACKSON, MI 49203-2986
(517) 787-9322
(517) 787-0836
Mailing address
817 W HIGH ST, JACKSON, MI 49203-2986
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00911572
MI
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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