Tatum, Jacquelina Otilia

Tatum, Jacquelina Otilia is an individual health care provider with primary practice located at 6802 Paragon Pl Ste 410 , Richmond VA 23230-1655. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health, which is considered as her primary health care specialty. Tatum, Jacquelina Otilia can be contacted via phone (919) 358-3730.

Contact Information

Primary practice address
6802 Paragon Pl Ste 410 Richmond VA 23230-1655
Phone: (919) 358-3730
Fax: (844) 892-9261
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Mental Health 225XM0800X

Profile Details

NPI number 1154886539
LBN Legal business name Tatum, Jacquelina Otilia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2019
Last updated Feb 9th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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