DANA GELANE TIDWELL

CARTERSVILLE, GA
NPI1811465222
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  LPN088738)
Enumeration Date2018-11-05
Last Update Date2018-11-05
Business Address
DANA GELANE TIDWELL LPN
218 STONEWALL ST
CARTERSVILLE, GA 30120-3628
Phone number: 770-386-1907
Mailing Address
DANA GELANE TIDWELL LPN
218 STONEWALL ST
CARTERSVILLE, GA 30120-3628
Phone number: