Individual
SHARON TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14737 N GALLATIN BLVD, BROOKPARK, OH 44142-2424
(216) 317-0489
Mailing address
14737 N GALLATIN BLVD, BROOKPARK, OH 44142-2424
(216) 317-0489
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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