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1184887119
KIA B RIDDICK
VIRGINIA BEACH, VA
NPI
1184887119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: VA 0110002819)
Enumeration Date
2008-07-09
Last Update Date
2022-07-12
Business Address
Mrs. KIA B RIDDICK PA
3432 HOLLAND RD
VIRGINIA BEACH, VA 23452-4846
Phone number: 757-468-1855
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Mailing Address
Mrs. KIA B RIDDICK PA
5000 COX RD STE 124
GLEN ALLEN, VA 23060-9263
Phone number:
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