Individual
MAROCKA TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23114 HARPERGATE DR, SPRING, TX 77373-6856
(832) 560-8361
Mailing address
23114 HARPERGATE DR, SPRING, TX 77373-6856
(832) 560-8361
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
794368
TX
163WC0400X
Case Management Registered Nurse
Primary
794368
TX
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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