Individual
ALYSSA TIDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3535 OLENTANGY RIVER RD FL 1, COLUMBUS, OH 43214-3908
(614) 566-3234
Mailing address
2991 ANGELO JOSEPH LN APT 108, COLUMBUS, OH 43204-0011
(580) 821-1839
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
70.000804TEMP
OH
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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