TIMOTHY VANNAME

PAHRUMP, NV
NPI1396196630
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2016-06-28
Last Update Date2016-06-28
Business Address
-- TIMOTHY VANNAME
4697 S ADRIANO WAY
PAHRUMP, NV 89061-7587
Phone number: 702-544-0338
Mailing Address
-- TIMOTHY VANNAME
4697 S ADRIANO WAY
PAHRUMP, NV 89061-7587
Phone number: 702-544-0338
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