Individual
PATRICIA ANN TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MAXIM, 3930 HOWARD HUGHES PKWAY SUITE 300, LAS VEGAS, NV 89169
(702) 809-6840
Mailing address
1079 AFRICAN EAGLE AVE, HENDERSON, NV 89015-8514
(916) 753-0374
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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