Individual
MS. SHANTERIKA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5407 MARTIN LUTHER KING BLVD, MOSS POINT, MS 39563-4543
(228) 205-8303
Mailing address
5407 MARTIN LUTHER KING BLVD, MOSS POINT, MS 39563-4543
(228) 205-8303
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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