Individual provider · Type 1 NPI

Latrese L. Riddick

Driver · Suffolk, VA

NPI number 1730660952 Active

Practice location

418 Jackson St
Suffolk, VA 23434

Call (757) 214-4416 Map

Fax (758) 809-1822

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X203735-700786 (VA)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

2 other providers at this address

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About NPI 1730660952

Latrese L. Riddick's National Provider Identifier is 1730660952, issued on Aug 25, 2018. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Suffolk, VA. The record was last updated on Aug 28, 2018.