Individual
MRS. WYNTER WYNETTE RIDDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOMEHEALTH CARE PROV
Contact information
Practice address
5752 ANDREA DR, NORFOLK, VA 23518-5743
(252) 698-1505
(757) 499-6323
Mailing address
4529 BOTANY PARK DR # 407, VIRGINIA BEACH, VA 23462-7775
(252) 698-1505
(757) 449-6323
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
VA
Other
Enumeration date
04/28/2018
Last updated
06/18/2019
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