Individual
BREONNA RIDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13803 BRADDOCK SPRINGS RD APT I, CENTREVILLE, VA 20121-4247
(757) 560-8620
Mailing address
13803 BRADDOCK SPRINGS RD APT I, CENTREVILLE, VA 20121-4247
(757) 560-8620
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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