| 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 |