Individual
MS. ANGELA ANNETTE TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
15378 YORICK AVE, CLEVELAND, OH 44110-3224
(216) 640-0691
Mailing address
15378 YORICK AVENUE #DOWN, CLEVELAND, OH 44110
(216) 640-0691
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
377648380499
OH
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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