Individual
JASMINE TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 QUARRY RD, PALO ALTO, CA 94304-1419
(650) 725-5591
Mailing address
2300 FREDERICK DOUGLASS BLVD APT 7H, NEW YORK, NY 10027-5085
(303) 304-6461
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
179843
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
11/17/2022
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