Individual
PERLA MARINA MALDONADO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10510 JEFFERSON AVE STE A, NEWPORT NEWS, VA 23601-3102
(757) 594-3800
Mailing address
10510 JEFFERSON AVE STE A, NEWPORT NEWS, VA 23601-3102
(757) 594-3800
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
04/01/2024
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