Individual
MR. TIMOTHY PATRICK MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HS
Contact information
Practice address
COMDT CG-1122 U S COAST GUARD, 2100 2ND ST SW, SUITE 5314, WASHINGTON, DC, DC 20593-0001
(510) 437-3981
(510) 437-3521
Mailing address
PO BOX 630053, SIMI VALLEY, CA 93063-0001
(510) 437-3981
(510) 437-3521
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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