Individual
JASMINE EVONNE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 POPLAR RIDGE DRIVE, GAFFNEY, SC 29341
(864) 838-8233
Mailing address
131 POPLAR RIDGE DR, GAFFNEY, SC 29341-4873
(864) 838-8233
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
07/21/2022
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