Individual
ISRAEL RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
916 N MOUNTAIN AVE, UPLAND, CA 91786-3697
(909) 932-1069
Mailing address
PO BOX 7560, NORCO, CA 92860-8085
(760) 406-3893
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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