Individual
ANGELA TIDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
51 N DUNLAP ST STE G10, MEMPHIS, TN 38105-4624
(901) 287-6647
Mailing address
51 N DUNLAP ST STE G10, MEMPHIS, TN 38105-4624
(901) 287-6647
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1748
TN
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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