Individual
LISA CHRISTINE TIMPONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3800 MILLERTON PL, WEST SACRAMENTO, CA 95691-5482
(209) 692-0667
Mailing address
3800 MILLERTON PL, WEST SACRAMENTO, CA 95691-5482
(209) 692-0667
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
60045337
WA
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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