Individual
CARLA ANN RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 BRAN ACRES DR, LOST CREEK, WV 26385-6940
(304) 677-4350
Mailing address
125 BRAN ACRES DR, LOST CREEK, WV 26385-6940
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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