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Shanice Tidwell
NPI 1235995952 · on the registry since 2024 · sole proprietor
Practice
- Address
- 16867 Kingsbury St Apt 126
Granada Hills, CA 91344 - Phone
- (513) 809-3962
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Sex
- Female
- Record last updated
- 2024-02-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California