Individual
TIMOTHY R. KLUDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
651 I ST, SACRAMENTO, CA 95814-2400
(916) 874-7360
Mailing address
11263 QUARTZ DR, AUBURN, CA 95602-2152
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
433300
CA
Other
Enumeration date
08/06/2006
Last updated
07/08/2007
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