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Elizabeth Tate

NPI 1063694834 · on the registry since 2007

Practice

Address
3093 Central Ave
San Diego, CA 92105
Phone
(619) 665-7925
Fax
(619) 284-2443
Organisation at this address
Florence Griffith Joyner Youth Foundation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-11-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California