Individual
TIM HAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 331-4824
Mailing address
1972 GIFFEN AVE, SANTA ROSA, CA 95407-5992
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
—
CA
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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