Tonya Tate MS

NPI 1265824908 - Community Health Worker - 172V00000X

NPI Details
NPI 1265824908
Gender Female
Enumeration Date 03/03/2015
Last Updated 03/03/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
152 EDWARD OWENS DR
TERRY MS, 39170-8921, US
Phone (601) 954-2421
Fax
Business Location
152 EDWARD OWENS DR
TERRY MS, 39170-8921, US
Phone (601) 954-2421
Fax
Toxanomy
Taxonomy Code 172V00000X
License State
License Number
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According to our database, Mrs. Tonya Tate MS NPI is 1265824908, taxonomy code is 172V00000X Tonya Tate MS physically located at 152 Edward Owens Dr, Terry MS, 39170-8921. NPI Number Tonya Tate MS has the Individual type.

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1265824908 NPI number is provided on an as is basis without warranty of any kind. 1265824908 is maintained by the National Plan & Provider Enumeration System. The contents of Tonya Tate MS are for informational purposes only.