| NPI Details | |
|---|---|
| NPI | 1003980533 |
| Enumeration Date | 11/17/2006 |
| Last Updated | 06/17/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | TIMOTHY TIMOTHY |
| Position | OWNER |
| Phone | (360) 829-0451 |
| Fax | (360) 829-8028 |
| Practice Location | |
|---|---|
| 787 MAIN ST BUCKLEY WA, 98321-8509, US |
|
| Phone | (360) 829-0451 |
| Fax | (360) 829-8028 |
| Business Location | |
|---|---|
| PO BOX 2360 BUCKLEY WA, 98321-2360, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 3336C0003X |
| License State | |
| License Number | |
| Remove 1003980533 NPI Number | |
According to our database, Timothy James Nunn NPI is 1003980533, taxonomy code is 3336C0003X Timothy James Nunn physically located at 787 Main St, Buckley WA, 98321-8509. NPI Number 1033115704 has the healthcare provider type.
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1003980533 NPI number is provided on an as is basis without warranty of any kind. 1003980533 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy James Nunn are for informational purposes only.
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