Riley Mohr is a Other Technician based in Santa Rosa, CA. Riley Mohr practices in Santa Rosa, CA. The NPI Number for Riley Mohr is 1255949822 and holds a License No. (California).
The current practice location address for Riley Mohr is 5511 Rainbow Cir, Santa Rosa, CA and can be reached out via phone at 707-328-0752.
Location: 5511 Rainbow Cir, Santa Rosa, CA, 95409-4377
Provider Profile Details
NPI Number
1255949822
Provider Name
Riley Mohr
Credential
Provider Entity Type
Individual
Gender
Male
Address
5511 Rainbow Cir, Santa Rosa, CA, 95409-4377
Phone Number
707-328-0752
Fax Number
Provider Enumeration Date
07/20/2020
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16612044 | 05 | CA |
Provider Business Practice Location Address Details
Address
5511 Rainbow Cir
City
State
Zip
95409-4377
Phone Number
707-328-0752
Fax Number
Provider Business Mailing Address Details
Address
5511 Rainbow Cir
City
State
Zip
95409-4377
Phone Number
707-328-0752
Fax Number
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
License No.
()
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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