FREDERICK LAMOND TATUM

SAN LEANDRO, CA
NPI1619130812
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  INTERIM PERMIT 1)
Enumeration Date2008-07-08
Last Update Date2008-07-08
Business Address
FREDERICK LAMOND TATUM RN MS
2275 ARLINGTON DRIVE
SAN LEANDRO, CA 94578
Phone number: 510-317-1444
Mailing Address
FREDERICK LAMOND TATUM RN MS
2275 ARLINGTON DRIVE
SAN LEANDRO, CA 94578
Phone number: 510-317-1444