Timothy Dylan Standiford
Technician, Personal Care Attendant in Fritch, TX. Individual provider (NPI-1).
NPI number1982104832
StatusActive
Last updated in NPPESFeb 16, 2018
Details
- NPI
- 1982104832
- Entity type
- Individual (NPI-1)
- Name
- Timothy Dylan Standiford
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 16, 2018
- Last updated
- Feb 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Other names
- Timothy Dylan Drennan (Other Name)
Practice location
400 Pueblo RdFritch, TX 79036-5041
Phone 760-330-1741
Mailing address
Po Box 922Fritch, TX 79036-0922
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