IDRIS RIDDICK, LPN

LPN

Licensed Practical Nurse

NPI: 1528543204Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

PN308356(PA)

Contact & Hours

Address: 3872 WYALUSING AVE
PHILADELPHIA, PA 19104
Phone: (610) 679-1723

Location

Practice Location

3872 WYALUSING AVE, PHILADELPHIA, PA

Quick Facts

NPI: 1528543204
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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