Provider Demographics
NPI:1588972731
Name:RIDDLE, SUN CHO (LAC)
Entity type:Individual
Prefix:
First Name:SUN
Middle Name:CHO
Last Name:RIDDLE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36305 WINDMILL RUN
Mailing Address - Street 2:
Mailing Address - City:OCEAN VIEW
Mailing Address - State:DE
Mailing Address - Zip Code:19970-3567
Mailing Address - Country:US
Mailing Address - Phone:302-588-6193
Mailing Address - Fax:
Practice Address - Street 1:30838 VINES CREEK RD UNIT 5
Practice Address - Street 2:
Practice Address - City:DAGSBORO
Practice Address - State:DE
Practice Address - Zip Code:19939-4385
Practice Address - Country:US
Practice Address - Phone:302-402-3113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13893171100000X
DE129862171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist