SHANICE TIDWELL

Non-emergency Medical Transport (VAN)

Active Individual
NPI: 1235995952

Practice Address

16867 KINGSBURY ST APT 126
Granada Hills, CA 91344

Phone: (513) 809-3962

Specialties

Specialty Code Primary License
Non-emergency Medical Transport (VAN) 343900000X Yes -

Frequently Asked Questions

NPI 1235995952 is the National Provider Identifier for SHANICE TIDWELL, a Non-emergency Medical Transport (VAN) provider located in Granada Hills, CA. This NPI was enumerated on February 21, 2024.
SHANICE TIDWELL practices at 16867 KINGSBURY ST APT 126, Granada Hills, CA 91344.

Quick Facts

NPI
1235995952
Type
Individual
Enumerated
Feb 21, 2024
Last Updated
Feb 21, 2024

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