Frederick Lamond Tatum RN MS

NPI 1619130812 - Registered Nurse - 163W00000X

NPI Details
NPI 1619130812
Gender Male
Enumeration Date 07/08/2008
Last Updated 07/08/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
2275 ARLINGTON DRIVE
SAN LEANDRO CA, 94578, US
Phone (510) 317-1444
Fax
Business Location
2275 ARLINGTON DRIVE
SAN LEANDRO CA, 94578, US
Phone (510) 317-1444
Fax
Toxanomy
Taxonomy Code 163W00000X
License State California
License Number INTERIM PERMIT 1
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According to our database, Frederick Lamond Tatum RN MS NPI is 1619130812, taxonomy code is 163W00000X and license number is INTERIM PERMIT 1, license state is located at California. Frederick Lamond Tatum RN MS physically located at 2275 Arlington Drive, San Leandro CA, 94578. NPI Number Frederick Lamond Tatum RN MS has the Individual type.

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1619130812 NPI number is provided on an as is basis without warranty of any kind. 1619130812 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick Lamond Tatum RN MS are for informational purposes only.