Individual
AUTUMN TATTENHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC, CD, NCS
Contact information
Practice address
1211 SUNRISE VW UNIT 104, SAN MARCOS, CA 92078-1239
(925) 768-3720
Mailing address
1211 SUNRISE VW UNIT 104, SAN MARCOS, CA 92078-1239
(925) 768-3720
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CA
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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