Individual
LILY TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-4855
Mailing address
387 TUMBLERS WAY, JOPPA, MD 21085-3751
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R251850
MD
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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