Kenya Tate

NPI #1073232880 in Justice, Illinois

Provider Information

NPI Number
1073232880
Entity Type
Individual
Name
Kenya Tate
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist, Other
Enumeration Date
Aug 24, 2022
Last Updated
Aug 24, 2022

Practice Location

Address
8454 S 86TH AVE
ZIP Code
60458-1859
Phone
(331) 472-7511

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other

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