Individual
KA'DEEM RIDDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
416 MARKET ST, SUFFOLK, VA 23434-5236
(757) 809-1409
(757) 809-0107
Mailing address
416 MARKET ST, SUFFOLK, VA 23434-5236
(757) 809-1409
(757) 809-0107
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
VA
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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