ROY TIDWELL

Case Manager/Care Coordinator

Active Individual
NPI: 1033351358

Practice Address

1326 4TH AVE
San Francisco, CA 94122

Phone: (415) 682-2080

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1033351358 is the National Provider Identifier for ROY TIDWELL, a Case Manager/Care Coordinator provider located in San Francisco, CA. This NPI was enumerated on April 1, 2009.
ROY TIDWELL practices at 1326 4TH AVE, San Francisco, CA 94122.

Quick Facts

NPI
1033351358
Type
Individual
Enumerated
Apr 1, 2009
Last Updated
Apr 1, 2009

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