Individual
CHRISTINA SELENE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1501 N WASHINGTON AVE, ODESSA, TX 79761-2536
(432) 978-8882
Mailing address
1501 N WASHINGTON AVE, ODESSA, TX 79761-2536
(432) 978-8882
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
310557
TX
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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