Individual
RONNIA TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 RICHARDSON ST APT 3309, CAYCE, SC 29033-4436
(215) 617-5155
Mailing address
219 RICHARDSON ST APT 3309, CAYCE, SC 29033-4436
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42801
SC
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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