Individual
MR. DARRYL TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 DALECREST DR UNIT 2052, LAS VEGAS, NV 89129-1767
(562) 824-9879
Mailing address
3800 DALECREST DR UNIT 2052, LAS VEGAS, NV 89129-1767
(562) 824-9879
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
E18332082021-5
NV
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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