Individual
MRS. DONNA L RIDDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
325 SHADOWLAKE DR, CHESAPEAKE, VA 23320-5128
(757) 288-0946
(757) 673-0907
Mailing address
325 SHADOWLAKE DR, CHESAPEAKE, VA 23320-5128
(757) 288-0946
(757) 673-0907
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001227330
VA
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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