Jonta Delisa Tidwell
Jonta Delisa Tidwell is a Home Health Agency in Fargo, North Dakota. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
3026 18th St SFargo, ND 58103-6716
Phone: (480) 286-8603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Health Agency (primary) | Taxonomy 251E00000X |
|---|
Record details
| NPI number | 1912524273 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 1, 2020 |
| Last updated in NPPES | July 1, 2020 |
| Certification date | July 1, 2020 |
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