Timothy Vanname

NPI #1396196630 in Pahrump, Nevada

Provider Information

NPI Number
1396196630
Entity Type
Individual
Name
Timothy Vanname
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Rehabilitation Practitioner
Enumeration Date
Jun 28, 2016
Last Updated
Jun 28, 2016

Practice Location

Address
4697 S ADRIANO WAY
State
Nevada
ZIP Code
89061-7587
Phone
(702) 544-0338

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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