Individual
RENIECE LARUE TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
404 STORER AVE, AKRON, OH 44320-2013
(330) 864-0228
Mailing address
1358 TERRIER DR APT F, COPLEY, OH 44321-2160
(330) 396-1072
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
085956
OH
Other
Enumeration date
04/01/2018
Last updated
04/01/2018
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