Individual
CHARLES TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 PAGE ST, SAN FRANCISCO, CA 94102-5811
(415) 553-3252
Mailing address
1138 CONNECTICUT ST, SAN FRANCISCO, CA 94107-3304
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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