Individual
MR. RICARDO RIVAS MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 W MAIN ST, SOMERTON, AZ 85350-6329
(928) 627-1120
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 236-8001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP8715
AZ
Other
Enumeration date
07/13/2017
Last updated
02/04/2019
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