Individual
DAVID TIMOTHY TATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5228 JOSE ERNESTO ST, NORTH LAS VEGAS, NV 89031-7951
(702) 731-0831
(702) 737-9697
Mailing address
5228 JOSE ERNESTO ST, NORTH LAS VEGAS, NV 89031-7951
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1805
NV
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
About Stedi
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