Individual
SAMIYAH SIDDIQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4146 PLACID LAKE CT, CHANTILLY, VA 20151-3521
(848) 459-3100
Mailing address
4146 PLACID LAKE CT, CHANTILLY, VA 20151-3521
(848) 459-3100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86175046
VA
Other
Enumeration date
01/09/2022
Last updated
01/09/2022
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