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Individual
RACHEL ANN DE LA RIVA MARCY
Active
Individual
RACHEL ANN DE LA RIVA MARCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
007641
NY
152W00000X
Optometrist
Primary
OPC4629
FL
152W00000X
Optometrist
OPT002618
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004538300
—
FL
Enumeration date
06/08/2011
Last updated
05/05/2017
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