DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LATRESE L RIDDICK

Active Sole Proprietor

LATRESE L RIDDICK is a Driver healthcare provider located in SUFFOLK, Virginia. NPI 1730660952 is currently active in the NPPES registry. Verify at CMS.

Driver · SUFFOLK, VA

Registration Details

NPI Number
1730660952
Provider Type
Individual
Gender
Female
NPI Issued
Aug 25, 2018 (7.9913281249377 yrs)
Last Updated
Aug 28, 2018
License
203735-700786 (VA)
Sole Proprietor
Yes

Practice Information

Address
418 JACKSON ST
SUFFOLK, VA, 23434
Browse VA providers · Browse ZIP 23434
Phone
7572144416
Fax
7588091822
Primary Specialty
Driver
172A00000X

Other Driver Providers in SUFFOLK, VA

Name Credential NPI
OMAR EDMOND 1780105809
THOMAS HARRIS 1467978288
PATRICIA GOODMAN 1891211405
DOROTHY DAVIS 1972029684
MONIQUE SCOTT 1831615459
BERNETTE RODGERS 1952827503
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.