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Individual
THERESE P. RIVARD
Active
Individual
THERESE P. RIVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03434
NC
363A00000X
Physician Assistant
180313
NC
363AS0400X
Surgical Physician Assistant
055.0031325
VT
363AS0400X
Surgical Physician Assistant
1980
MA
Other
Enumeration date
02/06/2008
Last updated
05/26/2021
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