Individual
ANNAZETTE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
802 HOWELL RD, NEW BERN, NC 28562-7840
(252) 621-8653
Mailing address
1267 COLONY DR, NEW BERN, NC 28562-4156
(252) 288-9212
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
C106913
NC
Other
Enumeration date
07/13/2017
Last updated
05/01/2018
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