Individual
LUCY RIDDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
231 WEBSTER AVE, PORTSMOUTH, VA 23704-2250
(757) 690-4497
Mailing address
231 WEBSTER AVE, PORTSMOUTH, VA 23704-2250
(757) 690-4497
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
60527
VA
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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