Individual
TANEISHA SHERRIE TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2503 N 37TH ST, MILWAUKEE, WI 53210-3047
(262) 744-8648
Mailing address
2503 N 37TH ST, MILWAUKEE, WI 53210-3047
(262) 744-8648
Taxonomy
Speciality
Code
Description
License number
State
261QR1100X
Research Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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