TIMOTHY JOHN THIESEN

VISALIA, CA
NPI1336625318
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95009461)
Enumeration Date2018-07-13
Last Update Date2018-07-13
Business Address
TIMOTHY JOHN THIESEN NP
400 W MINERAL KING AVE
VISALIA, CA 93291-6237
Phone number: 559-624-2000
Mailing Address
TIMOTHY JOHN THIESEN NP
2100 POWELL ST STE 900
EMERYVILLE, CA 94608-1844
Phone number: 510-350-2600