MR. Timothy Ray Walendzik, LMT

NPI #1114078961 in Hudson, Florida

Provider Information

NPI Number: 1114078961
Entity Type: Individual
Name: MR. Timothy Ray Walendzik, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: LMT
Enumeration Date: Jan 16, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 13911 LAKESHORE BLVD
Address 2: UNIT 102
City: Hudson
State: Florida
ZIP Code: 34667-7102
Phone: (727) 869-3803

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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