Individual
RONALD TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1814 24TH ST NE, APT. 102, WASHINGTON, DC 20002-1935
(202) 489-9795
Mailing address
1814 24TH ST NE, APT. 102, WASHINGTON, DC 20002-1935
(202) 489-9795
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1006216
DC
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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