Reniece Larue Tatum

NPI #1992201800 in Akron, Ohio

Provider Information

NPI Number: 1992201800
Entity Type: Individual
Name: Reniece Larue Tatum
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Apr 1, 2018
Last Updated: Apr 1, 2018

Practice Location

Address: 404 STORER AVE
City: Akron
State: Ohio
ZIP Code: 44320-2013
Phone: (330) 864-0228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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