Individual
DAJUNA TATOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
15 HOSPITAL DR, LUVERNE, AL 36049-7341
(334) 335-2471
(334) 335-3795
Mailing address
201 MONROE ST, SUITE 1386, MONTGOMERY, AL 36104-3735
(334) 206-7959
(233) 420-6399
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-059257
AL
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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