Individual
MR. TIM RYAN ZONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 S 15TH ST STE B, CLARINDA, IA 51632-2245
(712) 454-0514
Mailing address
121 S 15TH ST STE B, CLARINDA, IA 51632-2245
(712) 454-0514
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04774109
—
NY
Enumeration date
06/19/2018
Last updated
06/19/2018
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