Individual
CHARLENE CAPRICE TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8024 GILBERT ST, PHILADELPHIA, PA 19150-2420
(267) 324-2430
Mailing address
8024 GILBERT ST, PHILADELPHIA, PA 19150-2420
(610) 457-7158
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
02/01/2021
Last updated
03/29/2022
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