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Individual

MRS. TATUM CAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1814 W LINCOLN AVE, ANAHEIM, CA 92801-6730
(714) 635-0593
Mailing address
1814 W LINCOLN AVE, ANAHEIM, CA 92801-6730
(714) 635-0593

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
19994
CA

Other

Enumeration date
12/29/2008
Last updated
06/20/2012
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