LATRESE L RIDDICK

SUFFOLK, VA
NPI1730660952
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172A00000X Driver
(Licence: VA  203735-700786)
Enumeration Date2018-08-25
Last Update Date2018-08-28
Business Address
LATRESE L RIDDICK
418 JACKSON ST
SUFFOLK, VA 23434
Phone number: 757-214-4416
Mailing Address
LATRESE L RIDDICK
418 JACKSON ST
SUFFOLK, VA 23434-5315
Phone number: 757-214-4416
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