Individual
MR. TIMOTHY FLETCHER-VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
19647 WA-410, BONNEY LAKE, WA 98391-9839
(253) 921-4569
(253) 750-3475
Mailing address
19647 WA-410, BONNEY LAKE, WA 98391
(253) 921-4569
(253) 750-3475
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61316769
WA
Other
Enumeration date
06/08/2022
Last updated
01/13/2023
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