Mr. Joseph Amos Tatum Sr.
Mr. Joseph Amos Tatum Sr. is a Driver in Rifle, Colorado. Licensed in Colorado. Registered with an NPI since 2022.
- Licensed in
- CO
- In the registry since
- 2022
Practice location Address checks out
102 W 26th StRifle, CO 81650-3109
Phone: (505) 592-2851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence 20218177072 (CO) |
|---|
Record details
| NPI number | 1144971565 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 17, 2022 |
| Last updated in NPPES | January 17, 2022 |
| Certification date | January 17, 2022 |