Individual
PORSHA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1070 HECKLE BLVD STE 204, ROCK HILL, SC 29732-2855
(000) 000-0000
Mailing address
1070 HECKLE BLVD, ROCK HILL, SC 29732-2853
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
243423
SC
Other
Enumeration date
06/26/2018
Last updated
12/06/2023
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