Gary Fonta Riley
Gary Fonta Riley is a Community Health Worker in Tallahassee, Florida. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
2660 Old Bainbridge Rd Apt 1407Tallahassee, FL 32303-3573
Phone: (850) 405-5646
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Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1659839322 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 12, 2019 |
| Last updated in NPPES | March 12, 2019 |
| Mailing address | 2660 Old Bainbridge Rd Apt 1407, Tallahassee, FL 32303-3573 |
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