Individual
BRICE RIVRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
RR 612 LOOP ROAD, JACSKSONVILE, NC 28540
(910) 440-1942
Mailing address
RR 612 LOOP ROAD, JACSKSONVILE, NC 28540
(910) 440-1942
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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