Provider Demographics
NPI:1154167542
Name:RIEBER, SUZANNE LESLIE (CLD CAPPA)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:LESLIE
Last Name:RIEBER
Suffix:
Gender:F
Credentials:CLD CAPPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12723 LEMAY ST
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-1230
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12723 LEMAY ST
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-1230
Practice Address - Country:US
Practice Address - Phone:310-562-2901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-04
Last Update Date:2024-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No173C00000XOther Service ProvidersReflexologist