Dominique Tatum
Dominique Tatum is a Nurse's Aide in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2021.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
2644 Conklin Dr Apt 1Rockford, IL 61101-1865
Phone: (815) 713-5685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse's Aide (primary) | Taxonomy 376K00000X (IL) |
|---|
Record details
| NPI number | 1396410726 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 9, 2021 |
| Last updated in NPPES | August 9, 2021 |
| Certification date | August 9, 2021 |
| Mailing address | 2644 Conklin Dr Apt 1, Rockford, IL 61101-1865 |
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