Individual
CARLEEN BOWMAN RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
904 OAKLANE DR, ORANGEBURG, SC 29115-8121
(803) 290-2115
Mailing address
1195 SAINT MATTHEWS RD STE 336, ORANGEBURG, SC 29115-3417
(803) 570-6306
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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