Tatum, Nichole

Tatum, Nichole is an sole proprietor health care provider with primary practice located at 16088 Geranium Ct , Moreno Valley CA 92551-7292. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Tatum, Nichole can be contacted via phone (951) 229-9000.

Contact Information

Primary practice address
16088 Geranium Ct Moreno Valley CA 92551-7292
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 69826 California

Profile Details

NPI number 1710337605
LBN Legal business name Tatum, Nichole
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2016
Last updated Jun 21st, 2016 - about 9 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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