Individual
CAROL JONNETTE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
444 COLUMBUS RD, SUITE F, MOUNT VERNON, OH 43050-4461
(740) 397-0330
(740) 397-0060
Mailing address
205 WOOSTER RD, MOUNT VERNON, OH 43050-1733
(740) 397-9040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
009769
OH
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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