Individual
JEREMIAH RIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(330) 907-3269
Mailing address
540 FLYCATCHER DR, GOOSE CREEK, SC 29445-7341
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
218962
SC
163WE0003X
Emergency Registered Nurse
RN.370048-
OH
Other
Enumeration date
04/03/2015
Last updated
04/03/2015
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