Individual
DANA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1395 HILLTOP DR, CHULA VISTA, CA 91911-4599
(619) 581-4517
Mailing address
6735 MEZIN WAY, SAN DIEGO, CA 92114-4506
(619) 581-4517
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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