Individual
CURTIESHA LECOLE TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
845 4TH CT APT 206, VERO BEACH, FL 32960-5933
(772) 501-5987
Mailing address
204 CLOVERDALE DR, THOMASVILLE, GA 31792-4062
(772) 501-5987
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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