Individual
ALTON JAMES TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2298 W HORIZON RIDGE PKWY STE 201, HENDERSON, NV 89052-2698
(702) 363-7284
Mailing address
1200 BARTON GREEN DR, LAS VEGAS, NV 89128-1680
(702) 502-7606
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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