Individual
MRS. DARCY ROSE TIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
775 TOWNSHIP ROAD 30, ADA, OH 45810-9427
(419) 634-9686
Mailing address
775 TOWNSHIP ROAD 30, ADA, OH 45810-9427
(419) 634-9686
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN. 113122
OH
Other
Enumeration date
03/24/2008
Last updated
03/24/2008
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