Individual
WAYNE LEROY RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1628 LEWIS BLVD, GRAND FORKS, ND 58203-1639
(701) 740-0470
Mailing address
1628 LEWIS BLVD, GRAND FORKS, ND 58203-1639
(701) 740-0470
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
ND
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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