Individual
TIMOTHY DARLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EMR
Contact information
Practice address
701 STRUCK RD, LYLE, WA 98635-9428
(509) 209-4381
Mailing address
1 BARTLETT WAY, LYLE, WA 98635-9451
(509) 209-4381
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
60081201
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20D14
VOLUNTEER FIRE DEPARTMENT
WA
Enumeration date
04/08/2015
Last updated
04/08/2015
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