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Individual
MISS TERRA MICHELLE RILEY
Active
Individual
MISS TERRA MICHELLE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA 19901
CA
363A00000X
Physician Assistant
Primary
PA04400
TX
363AM0700X
Medical Physician Assistant
PA04400
TX
Other
Enumeration date
07/06/2006
Last updated
10/26/2023
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