Individual
MARY A TIMMERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
715 SOUTHPOINT BLVD, PETALUMA, CA 94954-6835
(707) 778-6019
Mailing address
69 PLATA CT, NOVATO, CA 94947-3731
(415) 408-3689
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
18181
CA
Other
Enumeration date
10/05/2013
Last updated
10/05/2013
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