Individual
MARSHA MARIE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 RIDGECREST, SUITE#: 215, BETHEL, AK 99559-0528
(907) 543-1784
(907) 543-3152
Mailing address
PO BOX 528, BNC COMPLEX SUITE# 215, BETHEL, AK 99559-0528
(907) 543-1784
(907) 543-3152
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002447
—
AK
Enumeration date
06/05/2013
Last updated
11/17/2016
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