CLIFTON TATE

SHREVEPORT, LA
NPI1063775823
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: LA  273)
Enumeration Date2012-06-18
Last Update Date2012-06-18
Business Address
Mr. CLIFTON TATE RD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-990-5030
Mailing Address
Mr. CLIFTON TATE RD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-990-5030
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