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Latrese L Riddick
Driver in Suffolk, Virginia
NPI 1730660952

Latrese L Riddick is a Driver based in Suffolk, VA. Latrese L Riddick practices in Suffolk, VA. The NPI Number for Latrese L Riddick is 1730660952 and holds a License No. 203735-700786 (Virginia).

The current practice location address for Latrese L Riddick is 418 Jackson St, Suffolk, VA and can be reached out via phone at 757-214-4416 and via fax at 758-809-1822.

Location: 418 Jackson St, Suffolk, VA, 23434-5315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730660952
Provider Name
Latrese L Riddick
Credential
Provider Entity Type
Individual
Gender
Female
Address
418 Jackson St, Suffolk, VA, 23434-5315
Phone Number
757-214-4416
Fax Number
758-809-1822
Provider Enumeration Date
08/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
418 Jackson St
City
Suffolk
State
Virginia
Zip
23434
Phone Number
757-214-4416
Fax Number
758-809-1822
person
Provider Business Mailing Address Details
Address
418 Jackson St
City
Suffolk
State
Virginia
Zip
23434
Phone Number
757-214-4416
Fax Number
758-809-1822
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
203735-700786 (Virginia)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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