Individual
TIMOTHY THAVEECHAI JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 BON AIR ROAD, UNIT B, GREENBRAE, CA 94904
(415) 473-6829
Mailing address
100 PRESCOTT CIR, OAKLEY, CA 94561-2096
(408) 569-3728
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
688160
CA
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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