Johnathon L Riley, BMS

NPI #1922396506 in Grants, New Mexico

Provider Information

NPI Number: 1922396506
Entity Type: Individual
Name: Johnathon L Riley, BMS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BMS
Enumeration Date: Jul 15, 2011
Last Updated: Jul 15, 2011

Practice Location

Address: 1217 BONITA ST
City: Grants
State: New Mexico
ZIP Code: 87020-2103
Phone: (505) 876-1890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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