NUTRENA TATE

DETROIT, MI
NPI1003936832
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI  4704209389)
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
NUTRENA TATE CNP
3901 BEAUBIEN ST
DETROIT, MI 48201-2119
Phone number: 313-745-5437
Mailing Address
NUTRENA TATE CNP
3901 BEAUBIEN 5TH FLOOR CARLS BLDG
DETROIT, MI 48201
Phone number: 313-745-4000
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