NPI Profile for TANEISHA S TATE in MILWAUKEE, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Research |
261QR1100X |
| NPI # | 1205500790 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/06/2021 | |
| Last updated | 08/06/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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TANEISHA S TATE
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