NPI 1588417059

Shermicka Tatum

Practitioner Private Vehicle Dallas, TX

Practice location

Address: 5473 Blair Rd, Dallas, TX 75231-4226
Phone: (318) 789-6620

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1588417059
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Apr 2024
Record last updated: 8 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.