Individual
SIMA SIDDIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTIONER
Contact information
Practice address
22110 ROSCOE BLVD STE 201, WEST HILLS, CA 91304-3861
(954) 923-7440
Mailing address
3440 HOLLYWOOD BLVD STE 460, HOLLYWOOD, FL 33021-6933
(954) 923-7440
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
22571
CA
Other
Enumeration date
05/11/2018
Last updated
05/11/2018
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