Individual
ANNETTE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1141 CHELSEA ST, RIDGECREST, CA 93555-3208
(760) 463-2880
(760) 446-0298
Mailing address
1141 CHELSEA ST, RIDGECREST, CA 93555-3208
(760) 463-2880
(760) 446-0298
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW80529
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77-0270433
—
CA
Enumeration date
10/02/2019
Last updated
10/02/2019
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