Individual
EMMA RUTH TIMBERLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
685 RESIDENZ PKWY APT A, KETTERING, OH 45429-6306
(937) 510-1918
Mailing address
685 RESIDENZ PKWY APT A, KETTERING, OH 45429-6306
(937) 510-1918
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
08/15/2021
Last updated
08/15/2021
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