Individual
BRENDA TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 12TH AVE SE LOT 7, DEVILS LAKE, ND 58301-3810
(701) 403-6051
Mailing address
502 12TH AVE SE LOT 7, DEVILS LAKE, ND 58301-3810
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/11/2026
Last updated
07/11/2026
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