Individual
MR. DAVID RIVERA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 S BROOKSIDE AVE, ASH GROVE, MO 65604-8909
(417) 366-5006
Mailing address
604 S BROOKSIDE AVE, ASH GROVE, MO 65604-8908
(417) 366-5006
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
—
—
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
03/19/2022
Last updated
03/19/2022
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