Individual
TIMOTHY JAMES MAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
345 KNOLLWOOD DR, HAMPSTEAD, NC 28443-8440
(530) 632-4440
Mailing address
345 KNOLLWOOD DR, HAMPSTEAD, NC 28443-8440
(530) 632-4440
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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