JUSTIN TIDWELL

SAN FRANCISCO, CA
NPI1245648922
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  95000691)
Enumeration Date2014-07-26
Last Update Date2022-06-21
Business Address
Mr. JUSTIN TIDWELL N.P.
2333 BUCHANAN ST
SAN FRANCISCO, CA 94115-1925
Phone number: 415-600-6000
Mailing Address
Mr. JUSTIN TIDWELL N.P.
1332 CALIFORNIA ST APT 1
SAN FRANCISCO, CA 94109-4964
Phone number: 415-518-4439
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