Individual
GENELLE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3902 25TH AVE, TEMPLE HILLS, MD 20748-6826
(240) 602-9139
Mailing address
3902 25TH AVE, TEMPLE HILLS, MD 20748-6826
(240) 602-9139
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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