TIMOTHY MAITLAND RENDELL

FORT BRAGG, CA
NPI1821658360
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-06-17
Last Update Date2019-06-17
Business Address
TIMOTHY MAITLAND RENDELL
101 N FRANKLIN ST
FORT BRAGG, CA 95437-3602
Phone number: 707-345-4012
Mailing Address
TIMOTHY MAITLAND RENDELL
101 N FRANKLIN ST
FORT BRAGG, CA 95437-3602
Phone number: 707-345-4012