BABOONIE TATUM

Driver

Active Individual
NPI: 1639590979

Practice Address

732 W MELVINA ST
Milwaukee, WI 53206

Phone: (414) 915-8189

Specialties

Specialty Code Primary License
Driver 172A00000X Yes -

Frequently Asked Questions

NPI 1639590979 is the National Provider Identifier for BABOONIE TATUM, a Driver provider located in Milwaukee, WI. This NPI was enumerated on January 3, 2014.
BABOONIE TATUM practices at 732 W MELVINA ST, Milwaukee, WI 53206.

Quick Facts

NPI
1639590979
Type
Individual
Enumerated
Jan 3, 2014
Last Updated
Jan 3, 2014

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