Individual provider · Type 1 NPI

Baboonie Tatum

Driver · Milwaukee, WI

NPI number 1639590979 Active

Practice location

732 W Melvina St
Milwaukee, WI 53206-3342

Call (414) 915-8189 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1639590979

Baboonie Tatum's National Provider Identifier is 1639590979, issued on Jan 3, 2014. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Milwaukee, WI. The record was last updated on Jan 3, 2014.