Individual
DENISE ANN TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
910 E OHIO AVE STE 104, ESCONDIDO, CA 92025-3439
(760) 745-7786
(760) 745-7786
Mailing address
910 E OHIO AVE STE 104, ESCONDIDO, CA 92025-3439
(760) 745-7786
(760) 745-7786
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN238785
CA
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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