Individual provider · Type 1 NPI
Maisha Tate
Other Technician · Oakland, CA
NPI number
1104639947
Active
Practice location
401 Grand Ave Ste 350
Oakland, CA 94610-5056
Mailing address
5407 Hillen Dr
Oakland, CA 94619-3253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician Primary | 247200000X | None listed |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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About NPI 1104639947
Maisha Tate's National Provider Identifier is 1104639947, issued on Jan 27, 2025. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Oakland, CA. The record was last updated on Jul 2, 2025.