JULIA ANNE TIDIK

SAN LUIS OBISPO, CA
NPI1396299525
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95009437)
Additional Taxonomies163W00000X Registered Nurse
(Licence: WA  RN60469015)
163W00000X Registered Nurse
(Licence: CA  95157097)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP60683021)
Enumeration Date2016-08-04
Last Update Date2023-01-11
Business Address
JULIA ANNE TIDIK PMHNP
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: 805-540-6500
Mailing Address
JULIA ANNE TIDIK PMHNP
784 HIGH ST
SAN LUIS OBISPO, CA 93401-5243
Phone number: