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1316501976
REGINALD RIDDICK
PORTSMOUTH, VA
NPI
1316501976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Enumeration Date
2019-04-29
Last Update Date
2019-05-15
Business Address
REGINALD RIDDICK
611 LANCER DR
PORTSMOUTH, VA 23701-2144
Phone number: 757-292-7507
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Mailing Address
REGINALD RIDDICK
611 LANCER DR
PORTSMOUTH, VA 23701-2144
Phone number: 757-292-7507
Copy
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