Individual
TIMOTHY ROBERT WARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3660 HIGHWAY 132, COULTERVILLE, CA 95311-9722
(209) 404-8009
Mailing address
3660 HIGHWAY 132, COULTERVILLE, CA 95311-9722
(209) 404-8009
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/15/2022
Last updated
05/15/2022
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