Search › California › 172A00000X
Manuel Tatum, DRIVER LICENSE
NPI 1427826577 · on the registry since 2023
Practice
- Address
- 322 State Ave Unit 1123
Shafter, CA 93263 - Phone
- (562) 341-3634
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Also registered as
- 372500000X
372600000X
376J00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California