Individual
ERIKA TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 S 4TH ST, SUITE 201, GRAND FORKS, ND 58201-4715
(701) 787-8540
(701) 787-5918
Mailing address
151 S 4TH ST, SUITE 201, GRAND FORKS, ND 58201-4715
(701) 787-8540
(701) 787-5918
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
5106
ND
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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