Individual
THEA TIMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 AMERICA AVE NW STE 130, BEMIDJI, MN 56601-3848
(218) 333-8154
Mailing address
616 AMERICA AVE NW STE 130, BEMIDJI, MN 56601-3848
(218) 333-8154
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R1970935
MN
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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