Individual
CRYSTAL RIDDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6949 S 110TH ST, LA VISTA, NE 68128-5721
(402) 597-4975
Mailing address
6949 S 110TH ST, LA VISTA, NE 68128-5721
(402) 597-4975
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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