Individual
MRS. AMIE TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9740 THOMPSON SCHIFF RD, SIDNEY, OH 45365-8476
(937) 710-0378
Mailing address
9740 THOMPSON SCHIFF RD, SIDNEY, OH 45365-8476
(937) 710-0378
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106740809499
—
OH
Enumeration date
10/24/2022
Last updated
10/24/2022
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