Individual
TIMOTHY BINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
6020 E BROWN RD STE 104, MESA, AZ 85205-4812
(602) 428-0700
Mailing address
6020 E BROWN RD STE 104, MESA, AZ 85205-4812
(602) 428-0700
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
234277
AZ
Other
Enumeration date
07/30/2020
Last updated
08/05/2020
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