JONTA TIDWELL

Home Health

Active Individual
NPI: 1912524273

Practice Address

3026 18TH ST S
Fargo, ND 58103

Phone: (480) 286-8603

Specialties

Specialty Code Primary License
Home Health 251E00000X Yes -

Frequently Asked Questions

NPI 1912524273 is the National Provider Identifier for JONTA TIDWELL, a Home Health provider located in Fargo, ND. This NPI was enumerated on July 1, 2020.
JONTA TIDWELL practices at 3026 18TH ST S, Fargo, ND 58103.

Quick Facts

NPI
1912524273
Type
Individual
Enumerated
Jul 1, 2020
Last Updated
Jul 1, 2020

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