ROY TIDWELL

SAN FRANCISCO, CA
NPI1033351358
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2009-04-01
Last Update Date2009-04-01
Business Address
-- ROY TIDWELL
1326 4TH AVE
SAN FRANCISCO, CA 94122-2616
Phone number: 415-682-2080
Mailing Address
-- ROY TIDWELL
106 NORTH EL DORADO STREET APT. # 4
SAN MATEO, CA 94401
Phone number: