Individual
LUCY KATHLEEN RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9535 ARCHIBALD AVE, RANCHO CUCAMONGA, CA 91730-5737
(909) 941-6167
Mailing address
9309 LA MESA DR APT B, RANCHO CUCAMONGA, CA 91701-5834
(626) 409-9015
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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