Individual
TIFFANY TIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 OPEKISKA RD, FAIRMONT, WV 26554-8752
(210) 882-7005
Mailing address
102 OPEKISKA RD, FAIRMONT, WV 26554-8752
(210) 882-7005
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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