Individual
DARREN MAXWELL RIESZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Contact information
Practice address
888 TURK ST, SAN FRANCISCO, CA 94102-3118
(415) 353-5050
Mailing address
3124 21ST ST, SAN FRANCISCO, CA 94110-2564
(415) 652-6967
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
30490
CA
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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