Individual
TIMOTHY HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
44687 LA PAZ RD, TEMECULA, CA 92592-2550
(661) 606-9280
Mailing address
44687 LA PAZ RD, TEMECULA, CA 92592-2550
(661) 606-9280
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95022931
CA
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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