Individual
MRS. BRENDA TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17255 S GOLDEN SUNRISE PL, CORONA DE TUCSON, AZ 85641-2720
(520) 777-4551
Mailing address
994 S HARRISON ROAD, TUCSON, AZ 85748
(520) 721-1887
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
811752
AZ
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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