Individual
MR. BRIAN PATRICK RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
1520 DA NANG DR APT D, CORONADO, CA 92118-3173
(210) 501-4126
Mailing address
1520 DA NANG DR APT D, CORONADO, CA 92118-3173
(210) 501-4126
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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