ANITA K TIDD

PATTEN, ME
NPI1053647727
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ME  P010477)
Enumeration Date2009-10-30
Last Update Date2009-10-30
Business Address
-- ANITA K TIDD LPN
30 HOULTON RD
PATTEN, ME 04765-0500
Phone number: 207-528-2285
Mailing Address
-- ANITA K TIDD LPN
PO BOX 500
PATTEN, ME 04765-0500
Phone number: 207-528-2285