Organization
CANNAMED RELIEF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL SUZANNE RIDDICK HEALTH CARE GIVER (VICEPRESIDENT)
(951) 682-3969
Entity
Organization
Contact information
Practice address
21016 BOX SPRINGS RD, MORENO VALLEY, CA 92557-8711
(951) 204-4016
(951) 682-3969
Mailing address
22426 WEMBLEY DR, MORENO VALLEY, CA 92557-6828
(951) 682-3969
(951) 682-3969
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
330015118
CA
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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