Individual
KATHERINE ANN TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., C.N.S.
Contact information
Practice address
36 MIRANDA CT, ALAMO, CA 94507-1697
(510) 752-6136
Mailing address
36 MIRANDA CT, ALAMO, CA 94507-1697
(510) 752-6136
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
257874
CA
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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