Individual
SIDDIG IZZELDIN SIDDIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2704 ATRIUM DR, GRAND PRAIRIE, TX 75052-7015
(469) 667-1390
Mailing address
2704 ATRIUM DR, GRAND PRAIRIE, TX 75052-7015
(469) 667-1390
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
About Stedi
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