KIMBERLY MODENA TATUM

PALESTINE, TX
NPI1518479542
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  AP136159)
Enumeration Date2017-10-31
Last Update Date2024-10-21
Business Address
KIMBERLY MODENA TATUM Nurse Practitioner
4002 S LOOP 256 STE A
PALESTINE, TX 75801-8492
Phone number: 903-731-5030
Mailing Address
KIMBERLY MODENA TATUM Nurse Practitioner
4002 S LOOP 256 STE A
PALESTINE, TX 75801-8492
Phone number: 903-731-5030
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