Individual
LASHONIA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 HORNBROOK ST, DYERSBURG, TN 38024-4342
(414) 313-7974
Mailing address
1217 HORNBROOK ST, DYERSBURG, TN 38024-4342
(414) 313-7974
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
94238
TN
Other
Enumeration date
03/26/2025
Last updated
03/27/2025
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