BABOONIE TATUM NPI 1639590979

NPI Information

Baboonie Tatum is a driver in Milwaukee, WI. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. Baboonie Tatum NPI is 1639590979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

732 W MELVINA ST
MILWAUKEE, WI
ZIP 53206-342
Phone: (414) 915-8189

The enumeration date for this NPI number is 1/3/2014 and was last updated on 1/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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