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

TaxonomyCodeLicense
Other Technician Primary 247200000XNone 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.