NPI | 1972765311 |
---|---|
Former Name | LINDA JO TIMMONS, MAY, LATHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA PT 23741) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2008-06-26 |