Individual
ALEXANDRA NICOLE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6370 GRIFFIN RD BLDG C307A, DAVIE, FL 33314-4424
(787) 630-0169
Mailing address
6370 GRIFFIN RD BLDG C307A, DAVIE, FL 33314-4424
(787) 630-0169
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PSI46105
FL
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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