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Timothy Estrada
Student in an Organized Health Care Education/Training Program in Johnson City, Tennessee
NPI 1972298404

Timothy Estrada is a Student in an Organized Health Care Education/Training Program based in Socorro, TN. Timothy Estrada practices in Johnson City, TN. The NPI Number for Timothy Estrada is 1972298404 and holds a License No. (Tennessee).

The current practice location address for Timothy Estrada is 1 Dogwood Ave, Johnson City, TN and can be reached out via phone at 423-439-6210.

Location: 1 Dogwood Ave, Johnson City, TN, 79927-1446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972298404
Provider Name
Timothy Estrada
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Dogwood Ave, Johnson City, TN, 79927-1446
Phone Number
423-439-6210
Fax Number
Provider Enumeration Date
04/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Dogwood Ave
City
Johnson City
State
Tennessee
Zip
37614
Phone Number
423-439-6210
Fax Number
person
Provider Business Mailing Address Details
Address
1 Dogwood Ave
City
Johnson City
State
Tennessee
Zip
37614
Phone Number
423-439-6210
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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