Individual
ALONZO MILTON RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDRC
Contact information
Practice address
740 10TH ST, IMPERIAL BEACH, CA 91932-2216
(619) 906-5323
(619) 296-0589
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13381
CA
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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