James Markle Tatum, OD Valid NPI

Individual provider · Optometrist · Rancho Cucamonga, CA

NPI

1649307828

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

6368T (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-02-27

Last updated

2013-08-20