Individual
CORDALE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8417 GRAND DIVISION AVE, CLEVELAND, OH 44125-1321
(216) 507-7564
Mailing address
8417 GRAND DIVISION AVE, CLEVELAND, OH 44125-1321
(216) 507-7564
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
01/10/2023
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