Individual
EVELYN ROLEEN TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
2145 TROY RD, SPRINGFIELD, OH 45504-4227
(937) 346-6363
Mailing address
2145 TROY RD, SPRINGFIELD, OH 45504-4227
(937) 346-6363
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
501080210306
OH
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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