Individual
REBECCA LYNN TIDWELL PREDILETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1416 EL CENTRO ST, SOUTH PASADENA, CA 91030-3202
(626) 577-2229
Mailing address
2489 LOY LN, LOS ANGELES, CA 90041-1817
(213) 923-4042
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
222
CA
Other
Enumeration date
05/20/2008
Last updated
05/01/2020
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