Individual
COURTNEY TIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17843 STATE ROUTE 7, MARIETTA, OH 45750
(800) 358-8262
Mailing address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
174171
OH
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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