Individual
MAISHA TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 GRAND AVE STE 350, OAKLAND, CA 94610-5056
(415) 725-3882
Mailing address
5407 HILLEN DR, OAKLAND, CA 94619-3253
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
07/02/2025
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