Sioud Idris
NPI #1073208799 in Lake Forest, California
Provider Information
- NPI Number
- 1073208799
- Entity Type
- Individual
- Name
- Sioud Idris
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Emergency Medical Technician, Basic
- Enumeration Date
- Apr 7, 2023
- Last Updated
- Apr 20, 2023
Practice Location
- Address
- 23792 LANDISVIEW AVE
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-5126
- Phone
- (949) 899-7959
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medical Technician, Basic |
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