Individual
TIMOTHY BRUHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
12207 LAKE JOSEPHINE BLVD, ANDERSON ISLAND, WA 98303-8709
(360) 348-3732
Mailing address
9521 124TH AVE, ANDERSON ISLAND, WA 98303-9713
(360) 348-3732
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
5526-6562-7034
WA
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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