Individual
JOANN M TIMBERLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1100 WEST STEWART DRIVE, ORANGE, CA 92868-3849
(714) 633-9111
Mailing address
PO BOX 690, LONG BEACH, CA 90801-0690
(562) 809-3547
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA18228
CA
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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