Individual
SHELLEY RIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 LA FORTUNA, NEWBURY PARK, CA 91320-1012
(805) 660-6367
Mailing address
105 LA FORTUNA, NEWBURY PARK, CA 91320-1012
(805) 660-6367
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
542709
CA
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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