SHANNON NATANYA TATE

WOODLAND HILLS, CA
NPI1609827187
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  22283)
Enumeration Date2006-05-12
Last Update Date2023-02-21
Business Address
SHANNON NATANYA TATE Physician Assistant
5601 DE SOTO AVE
WOODLAND HILLS, CA 91367-6701
Phone number: 833-574-2273
Mailing Address
SHANNON NATANYA TATE Physician Assistant
18300 ROSCOE BLVD
NORTHRIDGE, CA 91325-4105
Phone number: 818-885-8500
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