Individual
DESJA RIDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5353 E PRINCESS ANNE RD STE F, NORFOLK, VA 23502-1861
(757) 537-0257
Mailing address
253 MONTICELLO AVE, NORFOLK, VA 23510-2522
(757) 337-9341
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001339307
VA
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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