Individual
CANDICE MARIA TIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4209 GAULT PL NE, WASHINGTON, DC 20019-8006
(240) 779-7113
Mailing address
4209 GAULT PL NE, WASHINGTON, DC 20019
(240) 779-7113
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2719064
DC
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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