Individual
VANESSA SONIA RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4138 OLD MEETING STREET RD, NORTH CHARLESTON, SC 29405-6662
(843) 509-8213
Mailing address
PO BOX 416, AWENDAW, SC 29429-0416
(843) 509-8213
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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