Individual
TIMOTHY JAMES WEISENFORTH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 TELEGRAPH AVE STE 350, OAKLAND, CA 94609-3239
(510) 248-9636
Mailing address
3100 TELEGRAPH AVE STE 350, OAKLAND, CA 94609-3239
(510) 248-9636
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN95204487
CA
Other
Enumeration date
08/14/2022
Last updated
08/14/2022
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