Individual
CAITLIN EDWARDS TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7735 LEEDS ST, DOWNEY, CA 90242-3489
(562) 719-2865
Mailing address
7735 LEEDS ST, DOWNEY, CA 90242-3489
(562) 719-2865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201705522RN
OR
163W00000X
Registered Nurse
Primary
95281785
CA
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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