NICHOLE TATUM

MORENO VALLEY, CA
NPI1710337605
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy126800000X Dental Assistant
(Licence: CA  69826)
Enumeration Date2016-06-21
Last Update Date2016-06-21
Business Address
NICHOLE TATUM RDA
16088 GERANIUM CT
MORENO VALLEY, CA 92551-7292
Phone number: 951-229-9000
Mailing Address
NICHOLE TATUM RDA
16088 GERANIUM CT
MORENO VALLEY, CA 92551-7292
Phone number: 951-229-9000