Individual
TIM SHRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3800 WATT AVE STE 151, SACRAMENTO, CA 95821-2688
(916) 482-1535
Mailing address
10717 126TH PL NE, KIRKLAND, WA 98033-4756
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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