Provider Demographics
NPI:1144725581
Name:TATE, SATERIA ANNETTE
Entity type:Individual
Prefix:
First Name:SATERIA
Middle Name:ANNETTE
Last Name:TATE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9943 PATIO CT
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-1343
Mailing Address - Country:US
Mailing Address - Phone:225-806-8621
Mailing Address - Fax:
Practice Address - Street 1:9943 PATIO CT
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-1343
Practice Address - Country:US
Practice Address - Phone:225-806-8621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver