person
Shanice R Tidwell
Non-emergency Medical Transport (VAN) in Granada Hills, California
NPI 1235995952

Shanice R Tidwell is a Non-emergency Medical Transport (VAN) based in Granada Hills, CA. Shanice R Tidwell practices in Granada Hills, CA. The NPI Number for Shanice R Tidwell is 1235995952 and holds a License No. (California).

The current practice location address for Shanice R Tidwell is 16867 Kingsbury St Apt 126, Granada Hills, CA and can be reached out via phone at 513-809-3962.

Location: 16867 Kingsbury St Apt 126, Granada Hills, CA, 91344-6444
person
Provider Profile Details
NPI Number
1235995952
Provider Name
Shanice R Tidwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
16867 Kingsbury St Apt 126, Granada Hills, CA, 91344-6444
Phone Number
513-809-3962
Fax Number
Provider Enumeration Date
02/21/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
16867 Kingsbury St Apt 126
City
State
Zip
91344-6444
Phone Number
513-809-3962
Fax Number
person
Provider Business Mailing Address Details
Address
16867 Kingsbury St Apt 126
City
State
Zip
91344-6444
Phone Number
513-809-3962
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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