Individual
MR. TIMOTHY PATRICK CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
242 N VILLA AVE, WILLOWS, CA 95988-2641
(530) 934-6585
(530) 934-6592
Mailing address
242 N VILLA AVE, WILLOWS, CA 95988-2641
(530) 934-6585
(530) 934-6592
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/27/2015
Last updated
05/06/2025
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