Denise Tisdale

NPI #1760291199 in Baltimore, Maryland

Provider Information

NPI Number: 1760291199
Entity Type: Individual
Name: Denise Tisdale
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medical Technician, Basic
Enumeration Date: Dec 31, 2024
Last Updated: Dec 31, 2024

Practice Location

Address: 2513 W FAIRMOUNT AVE
City: Baltimore
State: Maryland
ZIP Code: 21223-1425
Phone: (410) 646-8044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medical Technician, Basic	146N00000X	Primary

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