Individual
JASMINE TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 BRIARHAVEN DR, FREDERICKSBURG, VA 22408-7758
(240) 988-4324
Mailing address
4510 BRIARHAVEN DR, FREDERICKSBURG, VA 22408-7758
(240) 988-4324
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
02/03/2025
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