MR. Randal Anthony Riley JR., LPN
NPI #1124503776 in Brown Deer, Wisconsin
Provider Information
- NPI Number
- 1124503776
- Entity Type
- Individual
- Name
- MR. Randal Anthony Riley JR., LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- LPN
- Enumeration Date
- Sep 29, 2018
- Last Updated
- May 7, 2020
Practice Location
- Address
- 4363 W DEAN RD APT 164
- City
- Brown Deer
- State
- Wisconsin
- ZIP Code
- 53223-3100
- Phone
- (305) 978-2335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
| Registered Nurse |
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