Corneisha Latray Tidwell
Corneisha Latray Tidwell is an In Home Supportive Care Agency in Cincinnati, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2020
Practice location Address checks out
443 Ballyclare TerCincinnati, OH 45240-4001
Phone: (513) 372-2371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X · Licence 40088591009 (OH) |
|---|
Record details
| NPI number | 1629674981 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 10, 2020 |
| Last updated in NPPES | December 10, 2020 |
| Certification date | December 10, 2020 |
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