Individual
VICTORIA PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2806 GATEWOOD DR, PHENIX CITY, AL 36870-2321
(205) 826-2530
Mailing address
2806 GATEWOOD DR, PHENIX CITY, AL 36870-2321
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12699
AL
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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