MRS. Alicia Tate

NPI #1760947113 in Riverdale, Georgia

Provider Information

NPI Number
1760947113
Entity Type
Individual
Name
MRS. Alicia Tate
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Homemaker
Enumeration Date
Feb 8, 2019
Last Updated
Feb 8, 2019

Practice Location

Address
8455 HIGHWAY 85 STE A3
State
Georgia
ZIP Code
30274-5115
Phone
(708) 881-0744

Specialties & Taxonomy Codes

Specialty
Homemaker

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