Individual
SIDIQUE RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 63RD ST, CAPITOL HEIGHTS, MD 20743-1645
(240) 838-9608
Mailing address
600 63RD ST, CAPITOL HEIGHTS, MD 20743-1645
(240) 838-9608
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
DC
Other
Enumeration date
07/23/2021
Last updated
03/20/2026
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