Individual
HIAM JIDDOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7136 TIMBERVIEW TRL, WEST BLOOMFIELD, MI 48322-3343
(248) 881-7543
Mailing address
7136 TIMBERVIEW TRL, WEST BLOOMFIELD, MI 48322-3343
(248) 881-7543
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/10/2020
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