WANDA TATUM
Driver
Active
Individual
NPI: 1174335004
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Driver | 172A00000X | Yes | T35091465782 (IL) |
Frequently Asked Questions
NPI 1174335004 is the National Provider Identifier for WANDA TATUM, a Driver provider located in Cortland, IL. This NPI was enumerated on January 27, 2025.
WANDA TATUM practices at 95 W MEADOW DR, Cortland, IL 60112.
Quick Facts
- NPI
- 1174335004
- Type
- Individual
- Enumerated
- Jan 27, 2025
- Last Updated
- Jan 27, 2025
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