Individual
SHERYL RENEE TISDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15330 100TH ST SE, LIDGERWOOD, ND 58053-9755
(701) 640-2626
Mailing address
15330 100TH ST SE, LIDGERWOOD, ND 58053-9755
(701) 640-2626
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
TIS-52-0449
ND
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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