Individual
TERRIE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2382 QUAIL RUN DR, KALAMAZOO, MI 49009-1831
(269) 716-1471
Mailing address
2382 QUAIL RUN DR, KALAMAZOO, MI 49009-1831
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703093677
MI
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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