Individual
CRAIG RYAN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 734-3939
Mailing address
1003 S SHERIDAN ST, CORONA, CA 92882-4342
(951) 734-3939
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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