Individual
MARY LEE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 HIDDEN CREEK DR, SHERWOOD, AR 72120-2286
(501) 944-5939
Mailing address
10800 FINANCIAL CENTRE PKWY, LITTLE ROCK, AR 72211-3552
(501) 255-7375
(866) 716-1451
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L035219
AR
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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