Individual
NICOLE MARIE TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
20183 GREENLAWN ST, DETROIT, MI 48221-1147
(248) 837-5544
(313) 397-8354
Mailing address
20183 GREENLAWN ST, DETROIT, MI 48221-1147
(248) 837-5544
(313) 397-8354
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
238283681195
MI
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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