Individual
YULONDA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
664 WILLOW BEND DR, JONESBORO, GA 30238-5982
(770) 572-7732
Mailing address
664 WILLOW BEND DR, JONESBORO, GA 30238-5982
(770) 572-7732
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
GA
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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