Individual
MS. JAMESIA RIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6363 W CAMP WISDOM RD APT 1625, DALLAS, TX 75236-2550
(913) 605-6376
Mailing address
6363 W CAMP WISDOM RD APT 1625, DALLAS, TX 75236-2550
(913) 605-6376
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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