ETHAN JEFFREY TATE

LOS ANGELES, CA
NPI1427576644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CA  NA95000780)
Enumeration Date2017-09-08
Last Update Date2023-11-27
Business Address
ETHAN JEFFREY TATE CRNA
1500 SAN PABLO ST
LOS ANGELES, CA 90033-5313
Phone number: 323-442-7400
Mailing Address
ETHAN JEFFREY TATE CRNA
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-442-7400
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