Individual
BRITTNEY TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 GLEN TRACE LN, LOUISVILLE, KY 40291
(502) 889-6081
Mailing address
9500 GLEN TRACE LN, LOUISVILLE, KY 40291
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
00000000
KY
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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