Individual
TIMOTHY PASSAVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1531 ESPLANADE, CHICO, CA 95926-3310
(530) 332-7536
Mailing address
1531 ESPLANADE, CHICO, CA 95926-3310
(530) 332-7536
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPA00003560
CA
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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