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1770100109
SHANTERIKA TATE
MOSS POINT, MS
NPI
1770100109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
Additional Taxonomies
374U00000X Home Health Aide
376J00000X Homemaker
Enumeration Date
2020-07-01
Last Update Date
2020-07-01
Business Address
MS. SHANTERIKA TATE
5407 MARTIN LUTHER KING BLVD
MOSS POINT, MS 39563-4543
Phone number: 228-205-8303
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Mailing Address
MS. SHANTERIKA TATE
5407 MARTIN LUTHER KING BLVD
MOSS POINT, MS 39563-4543
Phone number: 228-205-8303
Copy