Individual
TATUM LYNNIE FRANCISCO DAVID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9344
(909) 421-9392
Mailing address
3215 CLEAR LAKE RD, ONTARIO, CA 91761-0409
(909) 215-8361
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
805751
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95016367
CA
Other
Enumeration date
12/17/2015
Last updated
01/22/2021
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