Individual
XIOMARA DELSOCCORRO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
134 THURBERS AVE, #220A, PROVIDENCE, RI 02905
(401) 270-9991
Mailing address
191 CARPENTER ST, PROVIDENCE, RI 02903-3044
(401) 497-9263
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00617
RI
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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