NATHANIEL MYRON TATUM

SAN DIEGO, CA
NPI1487451746
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2025-02-25
Last Update Date2025-02-25
Business Address
Mr. NATHANIEL MYRON TATUM Sudrc
2516 A ST
SAN DIEGO, CA 92102-2111
Phone number: 619-952-2944
Mailing Address
Mr. NATHANIEL MYRON TATUM Sudrc
3320 VISTA AVE APT 1
LEMON GROVE, CA 91945-2239
Phone number: 619-952-2944
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