Individual
TINA TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 OREGON PIKE, LANCASTER, PA 17602-4604
(717) 617-2708
Mailing address
1001-07 PENNA AVENUE, TYRONE, PA 16686
(814) 312-2337
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN257248L
PA
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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