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Idris Riddick, LPN

NPI 1528543204 · on the registry since 2018 · sole proprietor

Practice

Address
3872 Wyalusing Ave
Philadelphia, PA 19104
Phone
(610) 679-1723

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-09-28
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania