BRIAN TATUM

PORT ST LUCIE, FL
NPI1669984167
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QD1600X Clinic/Center Developmental Disabilities
Enumeration Date2017-10-25
Last Update Date2017-10-25
Business Address
BRIAN TATUM
6905 HERITAGE DR
PORT ST LUCIE, FL 34952-8227
Phone number: 772-370-5547
Mailing Address
BRIAN TATUM
4230 SW CALLICOE ST
PORT SAINT LUCIE, FL 34953-3189
Phone number: 772-370-5547
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