Individual
ANNETTE TIMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
301 W 148TH ST, APT-4A, NEW YORK, NY 10039-2906
(718) 671-2100
Mailing address
301 W 148TH ST, APT-4A, NEW YORK, NY 10039-2906
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
299157
NY
Other
Enumeration date
11/24/2009
Last updated
10/13/2010
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