CHAMILLE TATE

Licensed Psychiatric Technician

Active Individual
NPI: 1093226417

Practice Address

2180 VALLEY BLVD
Pomona, CA 91768

Phone: (909) 865-2336

Specialties

Specialty Code Primary License
Licensed Psychiatric Technician 167G00000X Yes PT37946 (CA)

Frequently Asked Questions

NPI 1093226417 is the National Provider Identifier for CHAMILLE TATE, a Licensed Psychiatric Technician provider located in Pomona, CA. This NPI was enumerated on October 12, 2017.
CHAMILLE TATE practices at 2180 VALLEY BLVD, Pomona, CA 91768.

Quick Facts

NPI
1093226417
Type
Individual
Enumerated
Oct 12, 2017
Last Updated
Oct 12, 2017

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