JODY TATE

FAIRBANKS, AK
NPI1679125603
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: AK  18627)
Enumeration Date2019-07-10
Last Update Date2019-07-10
Business Address
JODY TATE RN
650 YOUNKER CT
FAIRBANKS, AK 99701-7586
Phone number: 907-456-1053
Mailing Address
JODY TATE RN
650 YOUNKER CT
FAIRBANKS, AK 99701-7586
Phone number: