Individual
UMAR SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5818 BELLFLOWER BLVD, LAKEWOOD, CA 90713-1058
(847) 341-8627
Mailing address
6709 S INTERLOCHIN LN, WEST JORDAN, UT 84084-5006
(847) 341-8627
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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