Individual
CHRISTINA TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3314 OLD TOPANGA CANYON RD, TOPANGA, CA 90290-4128
(206) 465-4673
Mailing address
3314 OLD TOPANGA CANYON RD, TOPANGA, CA 90290-4128
(206) 465-4673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60365880
WA
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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