Individual
PHYLENE RIRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9671 DEER VALLEY RD, BRENTWOOD, CA 94513-4907
(925) 383-4810
Mailing address
5129 LONE TREE WAY, ANTIOCH, CA 94531-8484
(925) 383-4810
(925) 226-0812
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/18/2023
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