Individual
ASHANTI TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1722 N NATIONAL AVE, SPRINGFIELD, MO 65803-3848
(580) 484-0126
Mailing address
3130 N ALBERTHA AVE, SPRINGFIELD, MO 65803-7853
(580) 484-0126
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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