Individual
RILEY KNAACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1519 WINTERWARM DR, FALLBROOK, CA 92028-9679
(951) 587-5766
Mailing address
1519 WINTERWARM DR, FALLBROOK, CA 92028-9679
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E4142595
CA
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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