Individual
SUNNY CHRISTINA RIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 TATES CREEK CENTRE DR STE 156, LEXINGTON, KY 40517-3096
(859) 273-0222
Mailing address
4030 TATES CREEK RD APT 3960, LEXINGTON, KY 40517-3084
(606) 923-3037
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
019301
KY
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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