Individual
TARA TIERRA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4800 COUNTRY LANE, 304, WARRENSVILLE HTS, OH 44128-6104
(216) 978-4350
Mailing address
4800 COUNTRY LANE, 304, WARRENSVILLE HTS, OH 44128-6104
(216) 978-4350
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
340779
OH
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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