Individual
DAINA MARLENE TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8126 MICHENER AVE, PHILADELPHIA, PA 19150-1216
(302) 464-0576
Mailing address
8126 MICHENER AVE, PHILADELPHIA, PA 19150-1216
(302) 464-0576
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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