Brandi Tatum

NPI #1003620345 in Omaha, Nebraska

Provider Information

NPI Number: 1003620345
Entity Type: Individual
Name: Brandi Tatum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Feb 6, 2025
Last Updated: Feb 6, 2025

Practice Location

Address: 16909 LAKESIDE HILLS PLZ STE 114
City: Omaha
State: Nebraska
ZIP Code: 68130-4652
Phone: (402) 932-2211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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