CARL TIDWELL

LAS VEGAS, NV
NPI1982129011
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2017-08-09
Last Update Date2017-08-09
Business Address
CARL TIDWELL
3355 SPRING MOUNTAIN RD STE 48
LAS VEGAS, NV 89102-8635
Phone number: 702-912-5404
Mailing Address
CARL TIDWELL
3355 SPRING MOUNTAIN RD STE 48
LAS VEGAS, NV 89102-8635
Phone number:
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