Individual
DIANE TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 SWALLOW DR, DAYTON, OH 45415-3524
(937) 516-3064
Mailing address
129 SWALLOW DR, DAYTON, OH 45415-3524
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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