Individual
MR. JOSEPH LOUIS TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
11919 HESPERIA RD, HESPERIA, CA 92345-2158
(760) 948-1454
(760) 948-6100
Mailing address
11919 HESPERIA RD, HESPERIA, CA 92345-2158
(760) 948-1454
(760) 948-6100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10224
CA
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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