Individual
MR. STEPHEN M-L TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HS3
Contact information
Practice address
2100 2ND ST SW SUIT, COMDT (CG-1122) US COAST GUARD, WASHINGTON, DC 20593
(313) 231-7231
Mailing address
2100 2ND ST SW SUIT, COMDT (CG-1122) US COAST GUARD, WASHINGTON, DC 20593
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
24720000X
CA
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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