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Individual

MONICA RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
149 FRANKLIN ST, STONEHAM, MA 02180-1504
(781) 279-3810
Mailing address
10 LINWOOD ST APT 203, MALDEN, MA 02148-5650
(781) 315-1565

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2516
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2516
ALLIED HEALTH PROFESSIONAL
MA
Enumeration date
06/26/2019
Last updated
06/26/2019
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