Individual
BEATRICE DAWN TIMKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6925 S KARNS RD, WEST MILTON, OH 45383-9716
(937) 974-2032
Mailing address
6925 S KARNS RD, WEST MILTON, OH 45383-9716
(937) 974-2032
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075085
—
OH
Enumeration date
12/15/2020
Last updated
12/15/2020
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