MRS. Nedra G Tidwell

NPI #1790959252 in Azle, Texas

Provider Information

NPI Number
1790959252
Entity Type
Individual
Name
MRS. Nedra G Tidwell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child
Enumeration Date
Apr 16, 2008
Last Updated
Apr 16, 2008

Practice Location

Address
7525 PORTWOOD RD
City
Azle
State
Texas
ZIP Code
76020-5835
Phone
(817) 444-5665

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, ChildRespite Care, Intellectual and/or Developmental Disabilities, Child

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