Individual
ARIEL D TIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
670 E 103RD ST, CLEVELAND, OH 44108-1332
(216) 990-5819
Mailing address
670 E 103RD ST, CLEVELAND, OH 44108-1332
(216) 990-5819
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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