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MRS. ALLISON C TATUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
403 2ND ST, LAKE PROVIDENCE, LA 71254-2605
(318) 559-2012
(318) 559-3553
Mailing address
1752 ISLAND POINT DR, LAKE PROVIDENCE, LA 71254-5346
(318) 559-2012
(318) 559-3553

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN089128
LA

Other

Enumeration date
06/15/2012
Last updated
06/15/2012
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