Individual
JENNIFER MARIE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3208 HERSHBERGER RD NW, ROANOKE, VA 24017-1842
(540) 366-5248
(540) 366-5211
Mailing address
3208 HERSHBERGER RD NW, ROANOKE, VA 24017-1842
(540) 366-5248
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002102328
VA
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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