Individual
ELIZABETH RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3016 SW 64TH TER, OKLAHOMA CITY, OK 73159-1318
(405) 589-6116
Mailing address
3016 SW 64TH TER, OKLAHOMA CITY, OK 73159-1318
(405) 589-6116
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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