Tidwell, Jasmyne
Tidwell, Jasmyne is an individual health care provider with primary practice located at 14700 Manzanita Park Road , Beaumont CA 92223. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tidwell, Jasmyne can be contacted via phone (951) 845-3155.Contact Information
Primary practice address
14700 Manzanita Park Road
Beaumont CA 92223
Phone: (951) 845-3155
Fax: (951) 845-8412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1831433317 |
|---|---|
| LBN Legal business name | Tidwell, Jasmyne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2012 |
| Last updated | Nov 21st, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Chellsen-Fernandez, Tanya D
14700 Manzanita Rd , Beaumont CA 92223-3026 -
Maduforo, Sidney
1664 Midnight Sun Dr , Beaumont CA 92223-8443 -
Hannon, Susan Marie
14700 Manzanita Park Rd , Beaumont CA 92223 -
Satterwhite, Nancy
14700 Manzanita Park Rd , Beaumont CA 92223 -
Mcmahon, Adelaide
1440 Beaumont Ave Unit A2 #234, Beaumont CA 92223 -
Flores, Anastasia B
14700 Manzanita Park Rd. , Beaumont CA 92223 -
Grant, John H.
291 Wall St. , Kingston NY 12401-3849 -
Clark, Elizabeth
11134 Michael Way , Beaumont CA 92223-6255