TIMOTHY JAMES JOHNSTON

DAVIS, CA
NPI1851935217
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X 
(Licence:   CPO03570)
Additional Taxonomies224P00000X Prosthetist
(Licence:   CPO03570)
Enumeration Date2019-10-29
Last Update Date2019-10-29
Business Address
Mr. TIMOTHY JAMES JOHNSTON C.P.O.
635 ANDERSON RD. SUITE 18
DAVIS, CA 95616
Phone number: 530-204-5123
Mailing Address
Mr. TIMOTHY JAMES JOHNSTON C.P.O.
635 ANDERSON RD. SUITE 18
DAVIS, CA 95616
Phone number: 530-204-5123