Individual
MS. MATILDA L RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 DR MARY MCLEOD BETHUNE BLVD, SUITE B, DAYTONA BEACH, FL 32114-3602
(386) 323-9855
(386) 253-2335
Mailing address
875 DR MARY MCLEOD BETHUNE BLVD, SUITE B, DAYTONA BEACH, FL 32114-3602
(386) 323-9855
(386) 253-2335
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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