Individual
JASMINE RENEE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 WHIPPLE AVE, CANON CITY, CO 81212-2949
(719) 671-2751
Mailing address
801 WHIPPLE AVE, CANON CITY, CO 81212-2949
(719) 671-2751
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0002990
CO
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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