Individual
RACHELLE-MARIE TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10238 E HAMPTON AVE STE 508, MESA, AZ 85209-3321
(480) 358-6187
(480) 833-8313
Mailing address
10238 E HAMPTON AVE STE 508, MESA, AZ 85209-3321
(480) 358-6187
(480) 833-8313
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
07/13/2022
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