REGINALD RIDDICK

PORTSMOUTH, VA
NPI1316501976
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2019-04-29
Last Update Date2019-05-15
Business Address
REGINALD RIDDICK
611 LANCER DR
PORTSMOUTH, VA 23701-2144
Phone number: 757-292-7507
Mailing Address
REGINALD RIDDICK
611 LANCER DR
PORTSMOUTH, VA 23701-2144
Phone number: 757-292-7507