Individual
KEKO TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
887 POTRERO AVE, SAN FRANCISCO, CA 94110-2869
(628) 206-2855
Mailing address
887 POTRERO AVE, SAN FRANCISCO, CA 94110-2869
(628) 206-2855
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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