Individual
TIMOTHY GARRETT IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
1871 9TH ST, SANTA MONICA, CA 90404-4501
(646) 298-9614
Mailing address
1871 9TH ST, SANTA MONICA, CA 90404-4501
(646) 298-9614
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN95358581
CA
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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