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Individual

MRS. NELLIE MAGALY RIVERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
74 EAST ST, PLAINVILLE, CT 06062-2367
(203) 715-6113
Mailing address
187 PARKVIEW ST, MERIDEN, CT 06451-5234
(203) 715-6113

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
08/24/2010
Last updated
08/24/2010
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