Individual
TIMOTHY ALLEN CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
860 N BUSH ST, UKIAH, CA 95482-3919
(707) 463-4303
Mailing address
209 ARLINGTON DR, UKIAH, CA 95482-3816
(707) 468-5326
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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