DIANA TIDWELL

GALT, CA
NPI1750746335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2015-12-23
Last Update Date2015-12-23
Business Address
DIANA TIDWELL
931 RANCH RD
GALT, CA 95632-8341
Phone number: 209-271-3968
Mailing Address
DIANA TIDWELL
931 RANCH RD
GALT, CA 95632-8341
Phone number: 209-271-3968