Individual
MRS. ANNA MAE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12 TICKLE RD, WESTPORT, MA 02790-4710
(508) 679-0796
(508) 646-2755
Mailing address
12 TICKLE RD, WESTPORT, MA 02790-4710
(508) 679-0796
(508) 646-2755
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
48228
MA
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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