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Individual

WENDELL KEITH TIMMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5009 SPRUCEWOOD AVE, NORTH CHESTERFIELD, VA 23234-4274
(804) 536-2266
Mailing address
20403 WILLIAMS ST, SOUTH CHESTERFIELD, VA 23803-1647
(804) 536-2266

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
VA

Other

Enumeration date
12/06/2018
Last updated
12/06/2018
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