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Davanzo Tate

NPI 1225400021 · on the registry since 2015

Practice

Address
6602 Harvest Ridge Dr
Youngstown, OH 44515
Phone
(330) 974-5415

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-10-20

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 Ohio