Individual
BRANDI LEIGH RIDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1251 S CEDAR CREST BLVD STE 102A, ALLENTOWN, PA 18103-6205
(610) 402-3940
Mailing address
1105 OAK ST, COPLAY, PA 18037-1703
(484) 661-3166
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SP019388
PA
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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