GRACE TIDWELL

WEST SACRAMENTO, CA
NPI1437579786
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  160389)
Enumeration Date2014-04-24
Last Update Date2021-12-02
Business Address
GRACE TIDWELL MD
155 15TH ST STE A
WEST SACRAMENTO, CA 95691-3737
Phone number: 916-454-2345
Mailing Address
GRACE TIDWELL MD
1860 HOWE AVE STE 440
SACRAMENTO, CA 95825-1098
Phone number: 916-569-8484
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