Individual
GENESIES SARAI RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 E LAKE SHORE BLVD, KISSIMMEE, FL 34744-5415
(407) 202-8292
Mailing address
1110 E LAKE SHORE BLVD, KISSIMMEE, FL 34744-5415
(407) 202-8292
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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