Connie E Tate, L.M.T.

NPI #1346485828 in Greenville, South Carolina

Provider Information

NPI Number: 1346485828
Entity Type: Individual
Name: Connie E Tate, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: L.M.T.
Enumeration Date: Dec 11, 2008
Last Updated: Dec 11, 2008

Practice Location

Address: 17 LAWTON AVE
City: Greenville
State: South Carolina
ZIP Code: 29601-2305
Phone: (864) 232-7821

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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