Individual
EMANUEL RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 E 55TH ST, CLEVELAND, OH 44103-1304
(216) 391-6672
Mailing address
1400 E 55TH ST, CLEVELAND, OH 44103-1304
(216) 391-6672
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0002358
OH
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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