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Individual
MELANEY ROSHAUN TATUM
Active
Individual
MELANEY ROSHAUN TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.E.O.
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
TX
251G00000X
Community Based Hospice Care Agency
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-1883213
DUNS
TX
Enumeration date
06/15/2019
Last updated
06/15/2019
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