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Individual

KHADIJAH RIDDICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
701 SOUTH ST STE A, FRANKLIN, VA 23851-1948
(757) 304-5390
Mailing address
701 SOUTH ST STE A, FRANKLIN, VA 23851-1948
(757) 304-5390

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
VA

Other

Enumeration date
12/06/2020
Last updated
12/06/2020
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