# MR. STEPHEN ASIAIN TATOM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1629404744
- **Gender:** Man
- **Credential:** CNOR, RNFA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | 612883 | CA | Yes |

## Other

- **Enumeration date:** 09/20/2013
- **Last updated:** 01/20/2015
