MRS. Shelly Marie Tate, LPN

NPI #1710277876 in Bryan, Ohio

Provider Information

NPI Number
1710277876
Entity Type
Individual
Name
MRS. Shelly Marie Tate, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Apr 11, 2011
Last Updated
Apr 11, 2011

Practice Location

Address
4357 COUNTY ROAD 10
City
Bryan
State
Ohio
ZIP Code
43506-9717
Phone
(419) 551-5923

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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