AUTUMN TATMAN

CHAMPAIGN, IL
NPI1487389581
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020.015266)
Enumeration Date2022-07-21
Last Update Date2022-07-21
Business Address
AUTUMN TATMAN
201 W KENYON RD
CHAMPAIGN, IL 61820-7892
Phone number: 217-531-4279
Mailing Address
AUTUMN TATMAN
201 W KENYON RD
CHAMPAIGN, IL 61820-7892
Phone number: