Individual
TIMOTHY VANOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
4009 COLBY AVE, EVERETT, WA 98201-4928
(425) 252-5309
Mailing address
4009 COLBY AVE, EVERETT, WA 98201-4928
(425) 252-5309
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PS 60534991
WA
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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