Raechelle Tidwell

NPI #1104649854 in Toledo, Ohio

Provider Information

NPI Number
1104649854
Entity Type
Individual
Name
Raechelle Tidwell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Nov 1, 2024
Last Updated
Nov 1, 2024

Practice Location

Address
2005 ASHLAND AVE
City
Toledo
State
Ohio
ZIP Code
43620-1703
Phone
(419) 841-7701

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator
Licensed Practical Nurse

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