Individual
TANYA MONIQUE TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
310 HARRISON ST APT 2A, HOBOKEN, NJ 07030-6135
(201) 702-0465
Mailing address
310 HARRISON ST APT 2A, HOBOKEN, NJ 07030-6135
(201) 702-0465
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP05924800
NJ
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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