Individual
DR. TATE GRIFFIN GENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
65-1184 MAMALAHOA HWY, KAMUELA, HI 96743-8431
(719) 351-6099
Mailing address
67-1185 MAMALAHOA HWY # 205, KAMUELA, HI 96743-7304
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1423
HI
Other
Enumeration date
10/16/2007
Last updated
11/05/2020
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