Individual
TANESHA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14025 ANDERSON ST APT C, PARAMOUNT, CA 90723-2770
(562) 240-9141
Mailing address
14025 ANDERSON ST APT C, PARAMOUNT, CA 90723-2770
(562) 240-9141
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
57557
CA
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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