Individual
QUI-SHAYNE RIDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAMS
Contact information
Practice address
5540 MOSHOLU AVE, BRONX, NY 10471-2423
(718) 974-3939
Mailing address
PO BOX 132, HENRYVILLE, PA 18332-0132
(718) 974-3939
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10328
GA
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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