Individual
MS. LISA ANITA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 BEDROCK DR, VILLA RICA, GA 30180-3422
(404) 550-0582
Mailing address
3020 BEDROCK DR, VILLA RICA, GA 30180-3422
(404) 550-0582
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
GA
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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