Shanice R Tidwell
NPI #1235995952 in Granada Hills, California
Provider Information
- NPI Number
- 1235995952
- Entity Type
- Individual
- Name
- Shanice R Tidwell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Feb 21, 2024
- Last Updated
- Feb 21, 2024
Practice Location
- Address
- 16867 KINGSBURY ST APT 126
- City
- Granada Hills
- State
- California
- ZIP Code
- 91344-6444
- Phone
- (513) 809-3962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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