Individual
MIRIAM ANN RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 FOURTH AVE, NEWTON, MS 39345-2714
(601) 527-3899
Mailing address
108 FOURTH AVE, NEWTON, MS 39345-2714
(601) 527-3899
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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