Tate, Jaquita Larshe

Tate, Jaquita Larshe is an individual health care provider with primary practice located at 305 Vanguard Rd , Ft. Stewart GA 31314. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Tate, Jaquita Larshe can be contacted via phone (912) 435-5705.

Contact Information

Primary practice address
305 Vanguard Rd Ft. Stewart GA 31314
Phone: (912) 435-5705
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X Georgia

Profile Details

NPI number 1124470695
LBN Legal business name Tate, Jaquita Larshe
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2016
Last updated Jul 8th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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