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Individual

TASHA TATUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, LPN

Contact information

Practice address
250 PILOT RD STE 250, LAS VEGAS, NV 89119-3514
(661) 220-9813
Mailing address
9787 SHADYMILL AVE, LAS VEGAS, NV 89148-1674
(661) 220-9813

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
869360
NV

Other

Enumeration date
01/31/2025
Last updated
01/31/2025
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