Individual
CANDICE NICOLE TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 NJ-37, TOMS RIVER, NJ 08755
(732) 557-8000
Mailing address
35 LAGOON DR E, TOMS RIVER, NJ 08753-2570
(835) 210-1034
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/24/2025
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