BRENDA LOUISE TIDWELL

HANFORD, CA
NPI1699800383
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  10740)
Enumeration Date2007-02-22
Last Update Date2007-07-08
Business Address
Mrs. BRENDA LOUISE TIDWELL FNP
1025 N DOUTY ST
HANFORD, CA 93230-3722
Phone number: 559-583-2254
Mailing Address
Mrs. BRENDA LOUISE TIDWELL FNP
17026 IDAHO AVE
LEMOORE, CA 93245-9112
Phone number: 559-583-2254
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